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<front>
<journal-meta>
<journal-id journal-id-type="pmc">JPA</journal-id>
<journal-id journal-id-type="nlm-ta">JPA</journal-id>
<journal-id journal-id-type="publisher-id">JPA</journal-id>
<journal-title-group>
<journal-title>Journal of Psychology in Africa</journal-title>
</journal-title-group>
<issn pub-type="ppub">1433-0237</issn>
<issn pub-type="epub">1815-5626</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">69675</article-id>
<article-id pub-id-type="doi">10.32604/jpa.2025.069675</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Assessing the psychometric properties of the Copenhagen Burnout Inventory (CBI) across various sectors in Sudan</article-title>
<alt-title alt-title-type="left-running-head">Assessing the psychometric properties of the Copenhagen Burnout Inventory (CBI) across various sectors in Sudan</alt-title>
<alt-title alt-title-type="right-running-head">Assessing the psychometric properties of the Copenhagen Burnout Inventory (CBI) across various sectors in Sudan</alt-title>
</title-group>
<contrib-group>
<contrib id="author-1" contrib-type="author" corresp="yes">
<name name-style="western">
<surname>AL-Qadri</surname>
<given-names>Abdo Hasan</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
<email>lubna23112015@outlook.com</email>
</contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western">
<surname>Al-Khadher</surname>
<given-names>Mohammed Ateik</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-3" contrib-type="author">
<name name-style="western">
<surname>Saraa</surname>
<given-names>Nadia</given-names>
</name>
<xref ref-type="aff" rid="aff-3">3</xref>
</contrib>
<contrib id="author-4" contrib-type="author">
<name name-style="western">
<surname>Mohmed Ahmed</surname>
<given-names>Ahmed Abdalmonem</given-names>
</name>
<xref ref-type="aff" rid="aff-4">4</xref>
</contrib>
<contrib id="author-5" contrib-type="author">
<name name-style="western">
<surname>Chen</surname>
<given-names>Pengfei</given-names>
</name>
<xref ref-type="aff" rid="aff-1">1</xref>
</contrib>
<contrib id="author-6" contrib-type="author">
<name name-style="western">
<surname>Bakhiet</surname>
<given-names>Salaheldin Farah</given-names>
</name>
<xref ref-type="aff" rid="aff-5">5</xref>
</contrib>
<contrib id="author-7" contrib-type="author">
<name name-style="western">
<surname>Albursan</surname>
<given-names>Ismael Salamah</given-names>
</name>
<xref ref-type="aff" rid="aff-2">2</xref>
</contrib>
<contrib id="author-8" contrib-type="author">
<name name-style="western">
<surname>Alhaqbani</surname>
<given-names>Hazim M.</given-names>
</name>
<xref ref-type="aff" rid="aff-6">6</xref>
</contrib>
<contrib id="author-9" contrib-type="author">
<name name-style="western">
<surname>Almutairi</surname>
<given-names>Abdullah Saad</given-names>
</name>
<xref ref-type="aff" rid="aff-7">7</xref>
</contrib>
<aff id="aff-1"><label>1</label><institution>School of Humanities and Education, Xi&#x2019;an Eurasia University</institution>, <addr-line>Xi&#x2019;an, 710065</addr-line>, <country>China</country></aff>
<aff id="aff-2"><label>2</label><institution>Department of Psychology, College of Education, King Saud University</institution>, <addr-line>Riyadh, 11362</addr-line>, <country>Saudi Arabia</country></aff>
<aff id="aff-3"><label>3</label><institution>Department of English, Faculty of Letters and Languages, Ibn Khaldoun University of Tiaret, Tiaret</institution>, <addr-line>14000</addr-line>, <country>Algeria</country></aff>
<aff id="aff-4"><label>4</label><institution>Department of Psychology, College of Arts, University of Khartoum, Khartoum</institution>, <addr-line>11111</addr-line>, <country>Sudan</country></aff>
<aff id="aff-5"><label>5</label><institution>Gifted Education Program, Department of Special Education, College of Education, Administrative and Technical Sciences, Arabian Gulf University</institution>, <addr-line>Manama, P.O. Box 26671</addr-line>, <country>Bahrain</country></aff>
<aff id="aff-6"><label>6</label><institution>Department of Special Education, College of Education, Imam Mohammad Ibn Saud Islamic University (IMSIU)</institution>, <addr-line>Riyadh, 11564</addr-line>, <country>Saudi Arabia</country></aff>
<aff id="aff-7"><label>7</label><institution>Self-Development Skills Department, King Saud University</institution>, <addr-line>Riyadh, 11362</addr-line>, <country>Saudi Arabia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>&#x002A;</label>Correspondence: Abdo Hasan AL-Qadri, <email>lubna23112015@outlook.com</email></corresp>
</author-notes>
<pub-date date-type="collection" publication-format="electronic">
<year>2026</year>
</pub-date>
<pub-date date-type="pub" publication-format="electronic">
<day>26</day><month>2</month><year>2026</year>
</pub-date>
<volume>36</volume>
<issue>1</issue>
<fpage>65</fpage>
<lpage>77</lpage>
<history>
<date date-type="received">
<day>28</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>25</day>
<month>11</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2026 The Authors. Published by Tech Science Press.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>The Authors</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_JPA_69675.pdf"></self-uri>
<abstract>
<p>Burnout is an escalating global occupational health challenge, requiring valid and reliable assessment tools. This study validates the Copenhagen Burnout Inventory (CBI) for assessing burnout among Sudanese workers in the education, healthcare, and banking sectors, where burnout prevalence is high. Utilizing the 19-item CBI, translated into Arabic, the study measured burnout across three dimensions: Personal Burnout (PB), Work-related Burnout (WB), and Client-related Burnout (CB). A total of 1068 participants were surveyed, including 438 teachers (41%), 326 healthcare workers (30.5%), and 304 bank employees (28.5%). Exploratory and Confirmatory Factor Analyses confirmed the construct validity of the CBI, while concurrent validity was supported through moderate to high correlations with the Maslach Burnout Inventory (MBI) domains, except for a weak correlation between Depersonalization and PB/WB. Reliability was established through Cronbach&#x2019;s Alpha (&#x03B1;), McDonald&#x2019;s Omega (&#x03C9;), Composite Reliability (CR), Average Variance Extracted (AVE), and discriminant validity, all of which were satisfactory across the three groups. The study resulted in two final versions of the CBI: a 17-item version for healthcare workers and a 19-item version for teachers and bank employees. Both versions are available in Arabic, and stakeholders are recommended to use the CBI tailored to each sector&#x2019;s specific psychometric properties. This tailored approach ensures accurate measurement of burnout, aiding psychologists, therapists, and policymakers in addressing and mitigating burnout effectively within each professional group.</p>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>Copenhagen burnout inventory (CBI)</kwd>
<kwd>healthcare</kwd>
<kwd>teachers</kwd>
<kwd>bank employees</kwd>
<kwd>validation</kwd>
<kwd>exploratory factor analysis (EFA)</kwd>
<kwd>confirmatory factor analysis (CFA)</kwd>
</kwd-group>
<funding-group>
<award-group id="awg1">
<funding-source>King Saud University</funding-source>
<award-id>ORFFT-2025-136-1</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Burnout is a widespread global concern and employing a valid and reliable instrument to assess it is essential for understanding its determinants and consequences (<xref ref-type="bibr" rid="ref-57">Schaufeli et al., 2020</xref>; <xref ref-type="bibr" rid="ref-56">Sakakibara et al., 2020</xref>). In Sudan, where socio-political instability, armed conflict, and economic hardship are prevalent, the need for a culturally appropriate burnout measure is even more pressing. Teachers, workers, and the general population experience heightened stress due to low socio-economic status and challenging working conditions (<xref ref-type="bibr" rid="ref-44">Mohiuddin, 2023</xref>). The consequences of burnout&#x2014;such as reduced productivity, emotional and physical health problems, lower quality of life, and high turnover rates&#x2014;pose significant societal and economic challenges (<xref ref-type="bibr" rid="ref-3">Ahmed et al., 2021</xref>; <xref ref-type="bibr" rid="ref-17">El Dabbah &#x0026; Elhadi, 2021</xref>). Because burnout affects both individual well-being and broader social structures, accurate assessment in the Sudanese context is crucial for mitigating these negative outcomes (<xref ref-type="bibr" rid="ref-16">Ed&#x00FA;-Valsania et al., 2022</xref>).</p>
<p>The Copenhagen Burnout Inventory (CBI) is a well-established instrument designed to measure three dimensions of burnout: personal, work-related, and client-related exhaustion (<xref ref-type="bibr" rid="ref-40">Malesic, 2022</xref>; <xref ref-type="bibr" rid="ref-42">Mendaglio &#x0026; Swanson, 2021</xref>). Despite its international use, no study has yet validated the CBI for the Sudanese population. This gap is significant given the unique socio-economic stressors in Sudan, including widespread poverty, high migration rates, and increased workload in sectors such as education and healthcare (<xref ref-type="bibr" rid="ref-54">Roth et al., 2021</xref>; <xref ref-type="bibr" rid="ref-52">Puzzo et al., 2024</xref>; <xref ref-type="bibr" rid="ref-67">Vianello et al., 2024</xref>). Migration and displacement intensify stress through social exclusion, income instability, and precarious living conditions. Importantly, the CBI&#x2019;s distinction among burnout dimensions minimizes overlap with general stress, enabling a more precise assessment of chronic work-related exhaustion&#x2014;an outcome that emerges after prolonged stress exposure (<xref ref-type="bibr" rid="ref-35">Kristensen et al., 2005</xref>; <xref ref-type="bibr" rid="ref-41">Maslach &#x0026; Leiter, 2016</xref>; <xref ref-type="bibr" rid="ref-34">Koutsimani et al., 2019</xref>; <xref ref-type="bibr" rid="ref-27">Hall et al., 2016</xref>). Given these contextual challenges, validating the CBI in Sudan is vital. Establishing the instrument&#x2019;s psychometric properties will ensure that it accurately captures burnout levels among Sudanese professionals, particularly teachers and workers. Reliable assessment tools are essential for designing effective interventions to reduce burnout and its detrimental effects on mental health, job performance, and overall well-being (<xref ref-type="bibr" rid="ref-18">Elssalih, 2021</xref>; <xref ref-type="bibr" rid="ref-53">Rmadan &#x0026; Kassahun, 2021</xref>). The high workload extended working hours, and inadequate compensation common in Sudan further increase burnout risk. Understanding the specific forms of burnout&#x2014;especially work-related burnout, which contributes to exhaustion and reduced productivity&#x2014;can inform targeted and context-appropriate interventions (<xref ref-type="bibr" rid="ref-36">Li et al., 2024</xref>; <xref ref-type="bibr" rid="ref-46">M&#x00F8;ller et al., 2022</xref>). Following prior recommendations (<xref ref-type="bibr" rid="ref-66">Tran et al., 2023</xref>), this study examines the construct validity and reliability of the CBI across different occupational groups in Sudan.</p>
<p>Validating the CBI in Sudan will provide a culturally adapted tool for assessing burnout, tailored to the unique stressors of the Sudanese context. This tool will support the development of strategies to enhance the well-being and productivity of employees and educators, ultimately benefiting both individuals and society (<xref ref-type="bibr" rid="ref-47">Obregon et al., 2020</xref>; <xref ref-type="bibr" rid="ref-65">Todorovic et al., 2021</xref>). Additionally, this study aims to provide evidence of the tool&#x2019;s validity, confirming the original factorial structure and the reliability of the adapted Sudanese version.</p>
</sec>
<sec id="s2">
<title>Literature Review</title>
<p>Four decades after its introduction, burnout remains a complex construct characterized by diverse and often subjective definitions, though emotional fatigue consistently emerges as its core component, sometimes overlapping with mental or physical exhaustion (<xref ref-type="bibr" rid="ref-16">Ed&#x00FA;-Valsania et al., 2022</xref>; <xref ref-type="bibr" rid="ref-29">Hillert et al., 2020</xref>). Teachers are among the most affected groups, and foundational definitions of burnout were shaped by observations of school educators (<xref ref-type="bibr" rid="ref-60">Skaalvik &#x0026; Skaalvik, 2020</xref>; <xref ref-type="bibr" rid="ref-14">Calin et al., 2022</xref>). Initially identified in clergy, burnout is now prevalent in professions requiring human service and altruism, as occupations involving direct or indirect interpersonal interaction show heightened vulnerability (<xref ref-type="bibr" rid="ref-19">Enfield, 2021</xref>; <xref ref-type="bibr" rid="ref-55">Russo, 2022</xref>).</p>
<p>Theoretical models aim to predict burnout as sociodemographic conditions shift, revealing disrupted variable relationships and related outcomes while identifying occupational risks and intervention points, helping professionals understand workplace demands and long-term consequences across diverse physical, psychosocial, managerial, and political roles.</p>
<sec id="s2_1">
<title>What is burnout?</title>
<p>Early burnout definitions emphasized worker exhaustion resulting from accumulated life stress (<xref ref-type="bibr" rid="ref-25">Guthier et al., 2020</xref>). Contemporary perspectives frame burnout as a job-induced human factor shaped by personal experiences and existential work engagement (<xref ref-type="bibr" rid="ref-1">Adebayo, 2022</xref>; <xref ref-type="bibr" rid="ref-31">Jooste, 2020</xref>). Public training increasingly targets symptom recognition and motivation, while burnout inventories align measurement with these evolving conceptualizations (<xref ref-type="bibr" rid="ref-58">Shoman et al., 2021</xref>; <xref ref-type="bibr" rid="ref-57">Schaufeli et al., 2020</xref>).</p>
</sec>
<sec id="s2_2">
<title>Models of burnout</title>
<p>This study draws on established theoretical models explaining the nature and origins of burnout (<xref ref-type="bibr" rid="ref-23">Galanakis &#x0026; Tsitouri, 2022</xref>; <xref ref-type="bibr" rid="ref-51">Prentice et al., 2023</xref>). While the Maslach Burnout Inventory remains the classical measure (<xref ref-type="bibr" rid="ref-2">Aguayo-Estremera et al., 2023</xref>), newer frameworks, such as the Job Demands&#x2013;Resources and Person&#x2013;Environment Fit models, reflect conditions in developed societies (<xref ref-type="bibr" rid="ref-11">Begum et al., 2024</xref>; <xref ref-type="bibr" rid="ref-70">Xiong et al., 2022</xref>). These models posit that burnout arises from excessive demands and insufficient resources (<xref ref-type="bibr" rid="ref-16">Ed&#x00FA;-Valsania et al., 2022</xref>; <xref ref-type="bibr" rid="ref-8">Bakker &#x0026; de Vries, 2021</xref>; <xref ref-type="bibr" rid="ref-9">Bakker et al., 2023</xref>).</p>
<p>Each selected model provides distinct indicators for understanding the persistence and variation of burnout in professional settings, though each has strengths and limitations. These models strongly reflect the individual, social, and economic realities of Sudanese schools (<xref ref-type="bibr" rid="ref-37">Macaulay, 2023</xref>; <xref ref-type="bibr" rid="ref-28">Hamid et al., 2020</xref>). While applied primarily to education, their relevance extends across sectors, offering a foundation for identifying measurable indicators and informing prevention-oriented policy strategies (<xref ref-type="bibr" rid="ref-49">Oke &#x0026; Fernandes, 2020</xref>).</p>
</sec>
<sec id="s2_3">
<title>Development and purpose of the CBI</title>
<p>The development of CBI was not an immediate process but emerged from extensive prior research on burnout. While the Maslach Burnout Inventory (MBI) originated in the mid-1970s, major theoretical and empirical advances across diverse fields, including healthcare, education, management, sports, air-traffic control, and human service work, accelerated during the 1980s and 1990s (<xref ref-type="bibr" rid="ref-69">Wilson, 2020</xref>; <xref ref-type="bibr" rid="ref-68">Vila et al., 2022</xref>). Numerous studies demonstrated significant associations between MBI scores and multiple variables, emphasizing the need for a refined and valid alternative measure (<xref ref-type="bibr" rid="ref-47">Obregon et al., 2020</xref>; <xref ref-type="bibr" rid="ref-24">Gonz&#x00E1;lez-Rodr&#x00ED;guez et al., 2020</xref>; <xref ref-type="bibr" rid="ref-62">Soares et al., 2023</xref>).</p>
<p>Through extensive qualitative research, including in-depth interviews, participant observation, and field testing across Danish occupational sectors, the CBI was systematically developed and finalized (<xref ref-type="bibr" rid="ref-63">Thrush et al., 2021</xref>; <xref ref-type="bibr" rid="ref-21">Fadare et al., 2021</xref>; <xref ref-type="bibr" rid="ref-45">Montgomery et al., 2021</xref>; <xref ref-type="bibr" rid="ref-50">Piperac et al., 2021</xref>). The instrument was designed to assess three core dimensions identified through intervention studies: personal burnout, work-related burnout, and client-related burnout (<xref ref-type="bibr" rid="ref-21">Fadare et al., 2021</xref>; <xref ref-type="bibr" rid="ref-10">Barton et al., 2022</xref>; <xref ref-type="bibr" rid="ref-6">Alvey, 2020</xref>; <xref ref-type="bibr" rid="ref-66">Tran et al., 2023</xref>). These dimensions reflect a cross-cultural, subjective understanding of burnout and aim to capture its full spectrum of consequences.</p>
<p>Pilot testing of eight CBI versions in Sudan demonstrated partial factorial validity, item clarity, and strong intercorrelations among the three scales, supporting its relevance in varied occupational settings. The CBI thus provides health professionals and organizational leaders with a practical tool for identifying, diagnosing, and addressing burnout across professions (<xref ref-type="bibr" rid="ref-45">Montgomery et al., 2021</xref>; <xref ref-type="bibr" rid="ref-39">Majeed et al., 2022</xref>; <xref ref-type="bibr" rid="ref-50">Piperac et al., 2021</xref>).</p>
<p>The primary aim of this study is to examine the psychometric properties of CBI in assessing burnout among teachers and other workers in Sudan. By evaluating its validity and reliability within Sudan&#x2019;s cultural, social, and professional context, the study seeks to provide insights into burnout experiences across demanding occupations and to strengthen the understanding of occupational stress in the region, benefiting both educational and workplace sectors.</p>
</sec>
</sec>
<sec id="s3">
<title>Methodology</title>
<p>A psychometric study was intended to ensure the validity and reliability of the CBI scale. This involved distributing the scale in a cross-sectional study among various Sudanese workers, as well as bank employees, medical staff, and teachers, with the aim of developing an effective diagnostic tool</p>
<sec id="s3_1">
<title>Participants</title>
<p>The study was conducted in the 2021&#x2013;2022 academic year in Khartoum, the capital of Sudan, in its 7 localities: Al-Khartoum, Jabal-olia, Khartoum-bahri, Shariq-Alniel, Omdurman, Umbada, and Karrari. the number of participants were (1068), males (n &#x003D; 461; 43.2%), females (n &#x003D; 607; 56.8%); they were distributed in three different professions: Bank employees (n &#x003D; 304; 28.5%), medical staff (n &#x003D; 326; 30.5%), and teachers (n &#x003D; 438; 41%). Their qualifications varied: less than Secondary School Certificate (n &#x003D; 6; 0.6%), Secondary School Certificate (n &#x003D; 43; 4%), Middle Diploma (n &#x003D; 70; 6.5%), Bachelor (n &#x003D; 698, 65.4%), Higher Diploma (n &#x003D; 80; 7.5%), Master Degree (n &#x003D; 138; 12.9%), Doctorate holders (n &#x003D; 33; 3.1%).</p>
<p>Data were collected using the CBI, distributed by institutional volunteers. Ethical approval was granted by the University of Khartoum, Faculty of Arts Research Board (No. 4&#x2013;81, Oct 2022). Participants provided informed consent and were assured confidentiality, with all procedures conducted in accordance with relevant guidelines and regulations.</p>
</sec>
<sec id="s3_2">
<title>Instrument</title>
<p>The original CBI was obtained from <xref ref-type="bibr" rid="ref-35">Kristensen et al. (2005)</xref>, and permission was granted by the authors to adapt it culturally and linguistically for use in Sudan. The scale was first translated from English to Arabic by two university professors specializing in psychology and English language teaching. The authors then revised the translation. A back-translation into English was conducted by another professor specializing in English&#x2013;Arabic linguistics, confirming equivalence between versions. The Arabic version was subsequently reviewed by 11 experts in mental health and organizational psychology, who recommended simplifying the language for everyday use and converting items from questions to statements to align with a five-point Likert scale. All suggested revisions were incorporated, establishing surface validity for the adapted instrument.</p>
<p>A pilot test involving 103 participants was conducted to evaluate the expert panel&#x2019;s recommendations. Reliability for the three CBI factors was acceptable (&#x03B1; &#x003D; 0.701, 0.745, and 0.723). Validity, assessed using the square root of alpha, yielded &#x221A;&#x03B1; values of 0.837, 0.863, and 0.850, indicating satisfactory psychometric properties (<xref ref-type="bibr" rid="ref-5">AL-Qadri &#x0026; Zhao, 2021</xref>; <xref ref-type="bibr" rid="ref-61">Smits et al., 2018</xref>). The final data collection used 19 items across three domains: PB (6 items), WB (7 items), and CB (6 items), with sample items such as &#x201C;I experience physical exhaustion during work&#x201D; and &#x201C;Working with students drains my energy.&#x201D;</p>
</sec>
<sec id="s3_3">
<title>Procedures</title>
<p>A team of 20 volunteers with a bachelor&#x2019;s degree in psychology was formed, and the following steps were undertaken: First, the data collection team was trained. Second, the necessary approvals were obtained prior to data collection. Third, the volunteers were allocated to each occupational group. Fourth, the questionnaires were administered, checked for completeness, scored, and entered an electronic database over a four-month period to complete the cross-sectional process. Finally, the findings were compiled and reported in the manuscript.</p>
</sec>
</sec>
<sec id="s4">
<title>Results</title>
<p>This study included three groups (teachers, medical staff, and bank employees) to investigate the psychometric properties of the CBI scale, which comprises 19 items distributed across three factors: PB, WB, and CB. To ensure robust validation and comparison among these groups, data analysis was conducted separately for each category within the study sample.</p>
<sec id="s4_1">
<title>Exploratory factor analysis of the CBI</title>
<p>A principal components analysis with varimax rotation was conducted for teachers, medical staff, and bank employees. Kaiser&#x2013;Meyer&#x2013;Olkin (KMO) values (0.926, 0.930, 0.947) exceeded the 0.60 threshold (<xref ref-type="bibr" rid="ref-32">Kaiser, 1974</xref>; <xref ref-type="bibr" rid="ref-22">Field, 2009</xref>). Bartlett&#x2019;s tests were significant (&#x03C7;<sup>2</sup> &#x003D; 4299.793, 4071.961, 6446.505, <italic>p</italic> &#x003C; 0.001), confirming factorability as shown in <xref ref-type="app" rid="app-1">Appendix A</xref>.</p>
<p>All items showed communalities above 0.40 across the three factors for teachers, medical staff, and bank employees. Three factors emerged for each group, explaining 58.146%, 63.820%, and 80.285% of variance, respectively. Items were assigned to factors based on loadings &#x003E;0.40; cross-loading items were allocated to the factor with the highest loading (<xref ref-type="bibr" rid="ref-24">Gonz&#x00E1;lez-Rodr&#x00ED;guez et al., 2020</xref>). All 19 items demonstrated significant loadings (See <xref ref-type="app" rid="app-1">Appendix A</xref>). For teachers, factor loadings ranged from 0.984&#x2013;0.535 (PB), 0.995&#x2013;0.751 (WB), and 0.952&#x2013;0.940 (CB). For medical staff, loadings ranged from 0.899&#x2013;0.762, 0.862&#x2013;0.690, and 0.819&#x2013;0.444, respectively. For bank employees, loadings ranged from 0.778&#x2013;0.419, 0.718&#x2013;0.401, and 0.812&#x2013;0.503, respectively. Descriptive statistics for all items are reported in <xref ref-type="app" rid="app-1">Appendix A</xref>.</p>
</sec>
<sec id="s4_2">
<title>Confirmatory factor analysis of the CBI</title>
<p>Next, to confirm the orientation of the items and verify the validation for the three factors, researchers used the distribution obtained through <xref ref-type="table" rid="table-1">Table 1</xref> to show that the reliability coefficients (&#x03C9;, &#x03B1;, and CR) were all above 0.70, and the AVE values exceeded 0.50, indicating acceptable reliability and discriminant validity according to <xref ref-type="bibr" rid="ref-66">Tran et al. (2023)</xref> and <xref ref-type="bibr" rid="ref-5">AL-Qadri &#x0026; Zhao (2021)</xref>. As well as the results reported, the squared correlations between latent constructs were assessed to assess discriminant validity more rigorously. AVE values for each construct exceeded their corresponding shared variances, confirming both convergent and discriminant validity.</p>
<table-wrap id="table-1">
<label>Table 1</label>
<caption>
<title>Construct validity and reliability of the teachers&#x2019; group (N &#x003D; 438)</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Latent constructs</th>
<th rowspan="2" align="center"><bold>&#x03C9;</bold></th>
<th rowspan="2" align="center"><bold>&#x03B1;</bold></th>
<th rowspan="2" align="center">CR</th>
<th rowspan="2" align="center">AVE</th>
<th colspan="3" align="center">Discriminant validity</th>
</tr>
<tr>
<th>PB</th>
<th>WB</th>
<th>CB</th>
</tr>
</thead>
<tbody>
<tr>
<td>Personal burnout (PB)</td>
<td>0.838</td>
<td>0.837</td>
<td>0.706</td>
<td>0.855</td>
<td><bold>0.924</bold></td>
<td>0.583</td>
<td>0.326</td>
</tr>
<tr>
<td>Work-related burnout (WB)</td>
<td>0.809</td>
<td>0.807</td>
<td>0.638</td>
<td>0.823</td>
<td>0.764</td>
<td><bold>0.907</bold></td>
<td>0.555</td>
</tr>
<tr>
<td>Client-related burnout (CB)</td>
<td>0.855</td>
<td>0.865</td>
<td>0.855</td>
<td>0.701</td>
<td>0.571</td>
<td>0.745</td>
<td><bold>0.837</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-1fn1" fn-type="other">
<p><italic>Note.</italic> &#x03B1; &#x003D; Cronbach&#x2019;s Alpha, &#x03C9; &#x003D; McDonald&#x2019;s Omega, CR &#x003D; Composite Reliability, AVE &#x003D; Average Variance Extracted, the values in the diagonal bolded are the square root of AVE of the construct.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The CBI Scale was refined through confirmatory factor analysis (CFA), focusing on items with high modification indices. All items were retained, as factor loadings exceeded 0.40 (<xref ref-type="fig" rid="fig-1">Figure 1a</xref>). Initial model fit was inadequate (&#x03C7;<sup>2</sup>/df &#x003D; 5.039; CFI &#x003D; 0.856; GFI &#x003D; 0.812; TLI &#x003D; 0.836; RMSEA &#x003D; 0.096). Modification indices recommended correlating selected error terms, items 1&#x2013;2, 8&#x2013;9, 9&#x2013;11, 16&#x2013;18, and 15&#x2013;19 (<xref ref-type="fig" rid="fig-1">Figure 1b</xref>). After these modifications, the teachers&#x2019; model demonstrated satisfactory fit (&#x03C7;<sup>2</sup>/df &#x003D; 2.854; CFI &#x003D; 0.936; GFI &#x003D; 0.921; TLI &#x003D; 0.925; RMSEA &#x003D; 0.065), with all loadings remaining above 0.40, confirming model adequacy (<xref ref-type="fig" rid="fig-1">Figure 1b</xref>).</p>
<fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>(<bold>a</bold>) Three&#x2013;factor model of CBI before modification based on the teachers&#x2019; group (19-Item). (<bold>b</bold>) Three&#x2013;factor model of CBI after modification based on the teachers&#x2019; group (19-Item)</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_69675-fig-1.tif"/>
</fig>
<p>Likewise, CFA validated the medical staff responses, confirming construct reliability, AVE, and discriminant validity (<xref ref-type="table" rid="table-2">Table 2</xref>). Reliability coefficients (&#x03C9;, &#x03B1;, CR) exceeded 0.70, and AVE values were above 0.50. Squared inter-factor correlations were lower than each construct&#x2019;s AVE, demonstrating acceptable convergent and discriminant validity.</p>
<table-wrap id="table-2">
<label>Table 2</label>
<caption>
<title>Construct validity and reliability of the medical staff group (N &#x003D; 326)</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Latent constructs</th>
<th rowspan="2" align="center"><bold>&#x03C9;</bold></th>
<th rowspan="2" align="center"><bold>&#x03B1;</bold></th>
<th rowspan="2" align="center">CR</th>
<th rowspan="2" align="center">AVE</th>
<th colspan="3" align="center">Discriminant validity</th>
</tr>
<tr>
<th>PB</th>
<th>WB</th>
<th>CB</th>
</tr>
</thead>
<tbody>
<tr>
<td>Personal burnout (PB)</td>
<td>0.934</td>
<td>0.933</td>
<td>0.876</td>
<td>0.945</td>
<td><bold>0.972</bold></td>
<td>0.488</td>
<td>0.558</td>
</tr>
<tr>
<td>Work-related burnout (WB)</td>
<td>0.961</td>
<td>0.961</td>
<td>0.844</td>
<td>0.923</td>
<td>0.699</td>
<td><bold>0.961</bold></td>
<td>0.848</td>
</tr>
<tr>
<td>Client-related burnout (CB)</td>
<td>0.959</td>
<td>0.959</td>
<td>0.754</td>
<td>0.882</td>
<td>0.747</td>
<td>0.921</td>
<td><bold>0.939</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-2fn1" fn-type="other">
<p><italic>Note</italic>. &#x03B1; &#x003D; Cronbach&#x2019;s Alpha, &#x03C9; &#x003D; McDonald&#x2019;s Omega, CR &#x003D; Composite Reliability, AVE &#x003D; Average Variance Extracted, the values in the diagonal bolded are the square root of AVE of the construct.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The initial CFA model for the medical staff group showed adequate item loadings (<xref ref-type="fig" rid="fig-2">Figure 2a</xref>) but poor overall fit (&#x03C7;<sup>2</sup>/df &#x003D; 3.624, CFI &#x003D; 0.912, GFI &#x003D; 0.857, TLI &#x003D; 0.900, RMSEA &#x003D; 0.090), as later detailed in <xref ref-type="table" rid="table-3">Table 3</xref>. Modification indices recommended removing Items 9 and 13 from WB and correlating selected error terms (Items 15&#x2013;16 and 18&#x2013;19) to improve fit (<xref ref-type="fig" rid="fig-2">Figure 2b</xref>). The revised model demonstrated satisfactory indices (&#x03C7;<sup>2</sup>/df &#x003D; 2.942, CFI &#x003D; 0.944, GFI &#x003D; 0.898, TLI &#x003D; 0.934, RMSEA &#x003D; 0.077). Although Item 13 had a strong loading (0.88), it impaired overall model fit (CFI and TLI &#x003C; 0.90). Consistent with <xref ref-type="bibr" rid="ref-33">Kline (2016)</xref> and <xref ref-type="bibr" rid="ref-26">Hair et al. (2019)</xref>, priority was given to achieving robust model fit, supporting the decision to remove items despite high loadings.</p>
<fig id="fig-2">
<label>Figure 2</label>
<caption>
<title>(<bold>a</bold>) Three&#x2013;factor model of CBI before modification based on the medical staff group (19-Item). (<bold>b</bold>) Three&#x2013;factor model of CBI after modification based on the medical staff group (17-Item)</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_69675-fig-2.tif"/>
</fig><table-wrap id="table-3">
<label>Table 3</label>
<caption>
<title>Goodness of fit indices for each group specifically and overall-(measurement and modified) model</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/> 
</colgroup>
<thead>
<tr>
<th>Group</th>
<th align="center">No. of items</th>
<th align="center">No. of participants</th>
<th>Model</th>
<th>X<sup><bold>2</bold></sup>/df</th>
<th>CFI</th>
<th>GFI</th>
<th>TLI</th>
<th>IFI</th>
<th>NFI</th>
<th>RFI</th>
<th>RMSEA</th>
</tr>
</thead>
<tbody>
<tr>
<td></td>
<td></td>
<td></td>
<td></td>
<td colspan="8" align="center">Criteria</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td/>
<td>&#x2264;5</td>
<td>&#x2265;0.90</td>
<td>&#x2265;0.90</td>
<td>&#x2265;0.90</td>
<td>&#x2265;0.90</td>
<td>&#x2265;0.90</td>
<td>&#x2265;0.90</td>
<td>&#x2264;0.08</td>
</tr>
<tr>
<td rowspan="2">Teachers</td>
<td rowspan="2">19</td>
<td rowspan="2">438</td>
<td>Measurement model</td>
<td>5.039</td>
<td>0.856</td>
<td>0.812</td>
<td>0.836</td>
<td>0.856</td>
<td>0.827</td>
<td>0.803</td>
<td>0.096</td>
</tr>
<tr>
<td>Modified model</td>
<td>2.854</td>
<td>0.936</td>
<td>0.921</td>
<td>0.925</td>
<td>0.936</td>
<td>0.905</td>
<td>0.906</td>
<td>0.065</td>
</tr>
<tr>
<td>Medical</td>
<td rowspan="2">17</td>
<td rowspan="2">326</td>
<td>Measurement model</td>
<td>3.624</td>
<td>0.912</td>
<td>0.857</td>
<td>0.900</td>
<td>0.912</td>
<td>0.883</td>
<td>0.866</td>
<td>0.090</td>
</tr>
<tr>
<td>staff</td>
<td>Modified model</td>
<td>2.942</td>
<td>0.944</td>
<td>0.898</td>
<td>0.934</td>
<td>0.944</td>
<td>0.918</td>
<td>0.903</td>
<td>0.077</td>
</tr>
<tr>
<td>Bank</td>
<td rowspan="2">19</td>
<td rowspan="2">304</td>
<td>Measurement model</td>
<td>3.455</td>
<td>0.943</td>
<td>0.849</td>
<td>0.935</td>
<td>0.943</td>
<td>0.922</td>
<td>0.911</td>
<td>0.090</td>
</tr>
<tr>
<td>employees</td>
<td>Modified model</td>
<td>3.089</td>
<td>0.952</td>
<td>0.891</td>
<td>0.944</td>
<td>0.952</td>
<td>0.931</td>
<td>0.920</td>
<td>0.080</td>
</tr>
<tr>
<td rowspan="2">Overall</td>
<td rowspan="2">19</td>
<td rowspan="2">1068</td>
<td>Measurement model</td>
<td>6.867</td>
<td>0.948</td>
<td>0.888</td>
<td>0.940</td>
<td>0.931</td>
<td>0.940</td>
<td>0.931</td>
<td>0.074</td>
</tr>
<tr>
<td>Modified model</td>
<td>4.811</td>
<td>0.967</td>
<td>0.922</td>
<td>0.961</td>
<td>0.967</td>
<td>0.958</td>
<td>0.952</td>
<td>0.060</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The bank employees&#x2019; model was validated using CFA to assess reliability, AVE, and discriminant validity. As shown in <xref ref-type="table" rid="table-4">Table 4</xref>, reliability coefficients (&#x03C9;, &#x03B1;, CR) exceeded 0.70, and AVE values were above 0.50, meeting criteria recommended by <xref ref-type="bibr" rid="ref-63">Thrush et al. (2021)</xref> and <xref ref-type="bibr" rid="ref-4">Al-Khadher et al. (2024)</xref>. Squared inter-construct correlations were lower than each construct&#x2019;s AVE, confirming adequate convergent and discriminant validity.</p>
<table-wrap id="table-4">
<label>Table 4</label>
<caption>
<title>Construct validity and reliability of the bank employees&#x2019; group (N &#x003D; 304)</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Latent constructs</th>
<th rowspan="2" align="center"><bold>&#x03C9;</bold></th>
<th rowspan="2" align="center"><bold>&#x03B1;</bold></th>
<th rowspan="2" align="center">CR</th>
<th rowspan="2" align="center">AVE</th>
<th colspan="3" align="center">Discriminant validity</th>
</tr>
<tr>
<th>PB</th>
<th>WB</th>
<th>CB</th>
</tr>
</thead>
<tbody>
<tr>
<td>Personal burnout (PB)</td>
<td>0.929</td>
<td>0.927</td>
<td>0.885</td>
<td>0.950</td>
<td><bold>0.975</bold></td>
<td>0.923</td>
<td>0.394</td>
</tr>
<tr>
<td>Work-related burnout (WB)</td>
<td>0.801</td>
<td>0.760</td>
<td>0.907</td>
<td>0.962</td>
<td>0.961</td>
<td><bold>0.981</bold></td>
<td>0.385</td>
</tr>
<tr>
<td>Client-related burnout (CB)</td>
<td>0.904</td>
<td>0.903</td>
<td>0.924</td>
<td>0.967</td>
<td>0.628</td>
<td>0.621</td>
<td><bold>0.984</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-4fn1" fn-type="other">
<p><italic>Note</italic>. &#x03B1; &#x003D; Cronbach&#x2019;s Alpha, &#x03C9; &#x003D; McDonald&#x2019;s Omega, CR &#x003D; Composite Reliability, AVE &#x003D; Average Variance Extracted, the values in the diagonal bolded are the square root of AVE of the construct.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The CBI Scale for bank employees was refined through CFA, focusing on items with high modification indices. All items were initially retained because their loadings exceeded 0.40 (<xref ref-type="fig" rid="fig-3">Figure 3a</xref>). However, the initial model showed inadequate fit (&#x03C7;<sup>2</sup>/df &#x003D; 3.455; CFI &#x003D; 0.943; GFI &#x003D; 0.849; TLI &#x003D; 0.935; RMSEA &#x003D; 0.090), as later reported in <xref ref-type="table" rid="table-3">Table 3</xref>. Modification indices indicated the need to correlate selected error terms, including Items 1&#x2013;2 and 2&#x2013;6 (Factor 1) and Items 12&#x2013;13 (Factor 2), as shown in <xref ref-type="fig" rid="fig-3">Figure 3b</xref>. After these adjustments, the model achieved satisfactory fit (&#x03C7;<sup>2</sup>/df &#x003D; 3.089; CFI &#x003D; 0.952; GFI &#x003D; 0.891; TLI &#x003D; 0.944; RMSEA &#x003D; 0.080). All item loadings remained above 0.40 in the revised model, confirming model adequacy (<xref ref-type="fig" rid="fig-3">Figure 3b</xref>).</p>
<fig id="fig-3">
<label>Figure 3</label>
<caption>
<title>(<bold>a</bold>) Three-factor model of CBI before modification based on the bank employees&#x2019; group (19-Item). (<bold>b</bold>) Three-factor model of CBI after modification based on the bank employees&#x2019; group (19-Item)</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_69675-fig-3.tif"/>
</fig>
<p>The overall model, comprising all three groups, was validated using CFA to assess reliability, AVE, and discriminant validity. <xref ref-type="table" rid="table-5">Table 5</xref> shows that reliability coefficients (&#x03C9;, &#x03B1;, CR) exceeded 0.70 and AVE values were above 0.50, meeting criteria by <xref ref-type="bibr" rid="ref-63">Thrush et al. (2021)</xref> and <xref ref-type="bibr" rid="ref-4">Al-Khadher et al. (2024)</xref>. Squared inter-construct correlations were lower than each construct&#x2019;s AVE, confirming convergent and discriminant validity.</p>
<table-wrap id="table-5">
<label>Table 5</label>
<caption>
<title>Construct validity and reliability of the participants-overall model (N &#x003D; 1068)</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Latent constructs</th>
<th rowspan="2" align="center"><bold>&#x03C9;</bold></th>
<th rowspan="2" align="center"><bold>&#x03B1;</bold></th>
<th rowspan="2" align="center">CR</th>
<th rowspan="2" align="center">AVE</th>
<th colspan="3" align="center">Discriminant validity</th>
</tr>
<tr>
<th>PB</th>
<th>WB</th>
<th>CB</th>
</tr>
</thead>
<tbody>
<tr>
<td>Personal burnout (PB)</td>
<td>0.925</td>
<td>0.924</td>
<td>0.804</td>
<td>0.909</td>
<td><bold>0.954</bold></td>
<td>0.828</td>
<td>0.570</td>
</tr>
<tr>
<td>Work-related burnout (WB)</td>
<td>0.830</td>
<td>0.810</td>
<td>0.738</td>
<td>0.882</td>
<td>0.910</td>
<td><bold>0.939</bold></td>
<td>0.737</td>
</tr>
<tr>
<td>Client-related burnout (CB)</td>
<td>0.942</td>
<td>0.945</td>
<td>0.813</td>
<td>0.914</td>
<td>0.755</td>
<td>0.859</td>
<td><bold>0.956</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-5fn1" fn-type="other">
<p><italic>Note</italic>. &#x03B1; &#x003D; Cronbach&#x2019;s Alpha, &#x03C9; &#x003D; McDonald&#x2019;s Omega, CR &#x003D; Composite Reliability, AVE &#x003D; Average Variance Extracted, the values in the diagonal bolded are the square root of AVE of the construct.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>The final CBI Scale was refined through CFA, focusing on items with high modification indices. All items were initially retained because their loadings exceeded 0.40 as shown in <xref ref-type="fig" rid="fig-4">Figure 4a</xref>. However, the initial model showed inadequate fit (&#x03C7;<sup>2</sup>/df &#x003D; 6.867; CFI &#x003D; 0.948; GFI &#x003D; 0.888; TLI &#x003D; 0.940; RMSEA &#x003D; 0.074), as reported in <xref ref-type="table" rid="table-3">Table 3</xref>. Modification indices recommended correlating selected error terms, Items 1&#x2013;2 (Factor 1) and Items 15&#x2013;19 (Factor 3), to address residual misspecifications (<xref ref-type="fig" rid="fig-4">Figure 4b</xref>). After these adjustments, the model achieved satisfactory fit (&#x03C7;<sup>2</sup>/df &#x003D; 4.811; CFI &#x003D; 0.967; GFI &#x003D; 0.922; TLI &#x003D; 0.961; RMSEA &#x003D; 0.060). All item loadings in the revised model remained above 0.40, confirming model adequacy as shown in <xref ref-type="fig" rid="fig-4">Figure 4b</xref>.</p>
<fig id="fig-4">
<label>Figure 4</label>
<caption>
<title>(<bold>a</bold>) Three&#x2013;factor model of CBI before modification based on all participants: Overall model (19-Item). (<bold>b</bold>) Three&#x2013;factor model of CBI after modification based on all participants: Overall model (19-Item)</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="JPA_69675-fig-4.tif"/>
</fig>
<p>Besides, the researchers provided a study model for each group and an overall model encompassing 19 items for the CBI, except for the medical staff group, which included 17 items. As shown in <xref ref-type="table" rid="table-3">Table 3</xref>, all models&#x2019; fits were acceptable after modifications. The overall model was determined to be appropriate for Sudanese workers across various fields, including education, healthcare, and banking. The study&#x2019;s results indicate that the latest version of the CBI scale, which incorporates all adaptation processes detailed in the methodology, includes 17 items specifically for workers in healthcare. However, other workers can assess their burnout inventory using the latest version of the CBI scale, which is clarified and modified in this study and contains 19-item.</p>
</sec>
<sec id="s4_3">
<title>Concurrent validity</title>
<p>Concurrent validity was assessed by correlating the CBI with the Maslach Burnout Inventory (MBI), including Emotional Exhaustion (EE), Personal Realization (PR), and Depersonalization (D), defined as a detachment from oneself (<xref ref-type="bibr" rid="ref-7">American Psychiatric Association, 2022</xref>) and marked by emotional numbing and disrupted self-awareness (<xref ref-type="bibr" rid="ref-59">Sierra &#x0026; David, 2011</xref>), and Interpersonal Psychological Stress (IPS) adapted by <xref ref-type="bibr" rid="ref-24">Gonz&#x00E1;lez-Rodr&#x00ED;guez et al. (2020)</xref>. A total of 242 teachers, medical staff, and bank employees participated.</p>
<p>The investigation of the CBI subscales revealed statistically significant correlations, ranging from [r &#x003D; 0.365(CB and PB) to 0.729 (WB and PB)], at the 0.05 and 0.01 levels, as shown in <xref ref-type="table" rid="table-6">Table 6</xref>. Moreover, CBI subscales&#x2019; values correlated positively significant, ranging from (r &#x003D; 0.324 to 434), negatively significant, ranging from [r &#x003D; &#x2212;0.318 (PR and PB) to &#x2212;0.475 (PR and CB)], and weakly [r &#x003D; 0.006 (D and PB) to 0.189 (IPS and PB)] scores of the MBI subscales. Emotional Exhaustion (EE) correlated positively significant the PB, WB, and CB [r &#x003D; 0.326, 0.347, and 0.434], respectively. Personal Realization (PR) correlated negatively significant the PB, WB, and CB (r &#x003D; &#x2212;0.318, &#x2212;0.438, and &#x2212;0.475), respectively. While Depersonalization (D) correlated positively significant the CB (r &#x003D; 0.331). Furthermore, Interpersonal Psychological Stress (IPS) correlated significantly positive the WB and CB (r &#x003D; 0.369 and 0.324), respectively. These results indicated that there is a good concurrent validity of CBI scale with MBI scale as presented in <xref ref-type="table" rid="table-6">Table 6</xref>.</p>
<table-wrap id="table-6">
<label>Table 6</label>
<caption>
<title>The correlation between CBI and MBI scales</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="char" char="d{2.5}"/>
<col align="char" char="d{2.5}"/>
<col align="char" char="d{2.5}"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Variable</th>
<th colspan="3">Concurrent sample</th>
<th colspan="3">Pearson correlations</th>
</tr>
<tr>
<th align="center">N</th>
<th align="center">M</th>
<th align="center">SD</th>
<th align="center">PB</th>
<th align="center">WB</th>
<th align="center">CB</th>
</tr>
</thead>
<tbody>
<tr>
<td>PB</td>
<td>242</td>
<td>2.67</td>
<td>0.919</td>
<td char=".">1</td>
<td char="."></td>
<td char="."></td>
</tr>
<tr>
<td>WB</td>
<td>242</td>
<td>2.51</td>
<td>0.828</td>
<td char=".">0.729&#x002A;&#x002A;</td>
<td char=".">1</td>
<td char="."></td>
</tr>
<tr>
<td>CB</td>
<td>242</td>
<td>2.34</td>
<td>0.749</td>
<td char=".">0.365&#x002A;</td>
<td char=".">0.655&#x002A;&#x002A;</td>
<td char=".">1</td>
</tr>
<tr>
<td>EE</td>
<td>242</td>
<td>2.20</td>
<td>1.084</td>
<td char=".">0.326&#x002A;</td>
<td char=".">0.347&#x002A;</td>
<td char=".">0.434&#x002A;&#x002A;</td>
</tr>
<tr>
<td>PR</td>
<td>242</td>
<td>2.11</td>
<td>0.855</td>
<td char=".">&#x2212;0.318&#x002A;</td>
<td char=".">&#x2212;0.438&#x002A;&#x002A;</td>
<td char=".">&#x2212;0.475&#x002A;&#x002A;</td>
</tr>
<tr>
<td>D</td>
<td>242</td>
<td>3.54</td>
<td>1.444</td>
<td char=".">0.006</td>
<td char=".">0.132</td>
<td char=".">0.331&#x002A;</td>
</tr>
<tr>
<td>IPS</td>
<td>242</td>
<td>2.27</td>
<td>1.354</td>
<td char=".">0.189</td>
<td char=".">0.369&#x002A;</td>
<td char=".">0.324&#x002A;</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-6fn1" fn-type="other">
<p><italic>Note.</italic> &#x002A;&#x002A;&#x03C1; &#x003C; 0.01; &#x002A;&#x03C1; &#x003C; 0.05.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s5">
<title>Discussion</title>
<p>This study evaluated the validity and reliability of the Copenhagen Burnout Inventory (CBI), based on the model by <xref ref-type="bibr" rid="ref-35">Kristensen et al. (2005)</xref> and <xref ref-type="bibr" rid="ref-45">Montgomery et al. (2021)</xref>. Results demonstrated strong psychometric properties across Sudanese teachers, medical staff, and bank employees. The study also assessed the factorial structure of the original version by examining item loadings, extracting eigenvalues for three factors, and conducting EFA using principal components analysis with varimax rotation.</p>
<p>The findings demonstrate that the CBI is a valid instrument in the current context. KMO values were high for teachers (0.926), medical staff (0.930), and bank employees (0.947). These values were slightly lower than those reported by <xref ref-type="bibr" rid="ref-13">Bolatov et al. (2021)</xref> and <xref ref-type="bibr" rid="ref-50">Piperac et al. (2021)</xref>, yet higher than <xref ref-type="bibr" rid="ref-65">Todorovic et al. (2021)</xref> and <xref ref-type="bibr" rid="ref-38">Mahmoudi et al. (2017)</xref>. Elevated burnout scores among medical and bank employees may reflect the ongoing conflict in Sudan, consistent with evidence that burnout adversely affects individuals and organizations (<xref ref-type="bibr" rid="ref-20">Euwema et al., 2004</xref>).</p>
<p>Teachers&#x2019; factor loadings ranged from 0.984&#x2013;0.535 (PB), 0.995&#x2013;0.751 (WB), and 0.952&#x2013;0.940 (CB), showing stronger loadings than those reported by <xref ref-type="bibr" rid="ref-50">Piperac et al. (2021)</xref>. However, <xref ref-type="bibr" rid="ref-50">Piperac et al. (2021)</xref>&#x2019;s values exceeded the loadings observed for bank employees in this study. Medical staff loadings were also lower than those reported by <xref ref-type="bibr" rid="ref-65">Todorovic et al. (2021)</xref> for PB and WB. Despite these variations, all item loadings in the present study were satisfactory across groups, confirming the CBI as a robust and valid instrument for the three target samples.</p>
<p>Construct reliability and validity were supported across all groups. Among teachers, Cronbach&#x2019;s alpha values were 0.837 (PB), 0.807 (WB), and 0.865 (CB), slightly lower than those reported by <xref ref-type="bibr" rid="ref-15">Campos et al. (2013)</xref> and <xref ref-type="bibr" rid="ref-13">Bolatov et al. (2021)</xref>. In contrast, alpha values for medical staff and bank employees were marginally higher than those found in <xref ref-type="bibr" rid="ref-15">Campos et al. (2013)</xref>, <xref ref-type="bibr" rid="ref-50">Piperac et al. (2021)</xref>, and <xref ref-type="bibr" rid="ref-45">Montgomery et al. (2021)</xref>. Overall, the scale demonstrated strong internal consistency, indicating a reliable and homogeneous construct across Sudanese professionals. Additional reliability indicators, including &#x03C9; and CR, were also satisfactory across all factors and groups, an important contribution, as these coefficients are often overlooked in validation studies. Furthermore, AVE and discriminant validity analyses confirmed acceptable convergent and discriminant validity. By examining diverse occupational groups in Sudan, this study extends the evidence base for the Copenhagen Burnout Inventory and contributes new insights into its applicability in an African context.</p>
<p>The inventory demonstrated strong construct validity, with all three modified models showing satisfactory fit. RMSEA values were acceptable for teachers (0.065), medical staff (0.077), and bank employees (0.080). These findings align with <xref ref-type="bibr" rid="ref-43">Milfont et al. (2008)</xref>, whose three-factor model for New Zealand teachers reported higher RMSEA values, and with <xref ref-type="bibr" rid="ref-63">Thrush et al. (2021)</xref>, who found comparable fit indices among academic health center employees (CFI &#x003D; 0.922, RMSEA &#x003D; 0.083, SRMR &#x003D; 0.044). Similarly, <xref ref-type="bibr" rid="ref-30">Johnson (2024)</xref> reported acceptable fit for U.S. academic librarians (CFI &#x003D; 0.918, RMSEA &#x003D; 0.088, SRMR 0.058). All fit indices in the present study were satisfactory across the Sudanese groups, particularly following model modifications. A key contribution of this research is the identification of minor variations across the three samples: the final scale included 19 items for teachers, 17 for medical staff, and 19 for bank employees. Differences emerged in the WB factor, which was reduced from seven to five items in the medical staff group, reflecting sample-specific adaptations while maintaining factorial coherence.</p>
<p>Concurrent validity assesses the degree to which a construct corresponds with related measures. In this study, the CBI showed significant correlations with the MBI. Emotional Exhaustion (EE) demonstrated strong positive associations with PB, WB, and CB, aligning with evidence that identifies EE as the central dimension of burnout (<xref ref-type="bibr" rid="ref-12">Bekker et al., 2005</xref>; <xref ref-type="bibr" rid="ref-64">Tijdink et al., 2014</xref>). Consistent with these findings, <xref ref-type="bibr" rid="ref-48">Ogunsuji et al. (2022)</xref> also reported strong CBI&#x2013;MBI correlations, particularly for EE. Although Depersonalization (D) showed weak correlations with PB and WB, suggesting that emotional detachment may operate independently, shaped by coping behaviours or socio-cultural conditions in Sudan. However, Depersonalization was significantly correlated with CB. This contrasts with <xref ref-type="bibr" rid="ref-15">Campos et al. (2013)</xref>, who reported weaker depersonalization associations. <xref ref-type="bibr" rid="ref-48">Ogunsuji et al. (2022)</xref> similarly noted weak validity for depersonalization and Client Burnout but still observed a positive relationship. Overall, the results support the CBI&#x2019;s validity, applicability, and generalizability among Sudanese teachers, medical staff, and bank employees.</p>
<p>Besides, the final version of the CBI scale retains key psychometric properties for each specific Sudanese group represented in the study. These properties are valuable for psychologists and therapists in diagnosing burnout among Sudanese workers. As well, the study&#x2019;s outcomes offer practical insights for stakeholders, managers, and policymakers in these three sectors, enabling them to design targeted programs to reduce workers&#x0027; burnout and improve mental health and overall well-being in the Sudanese employees.</p>
</sec>
<sec id="s6">
<title>Conclusion</title>
<p>This study confirms that the CBI demonstrates strong psychometric properties and is a reliable instrument for assessing burnout among Sudanese workers in education, healthcare, and banking. Two validated versions emerged: a 17-item scale for healthcare workers (6 PB, 5 WB, 6 CB) and the original 19-item scale for teachers and bank employees (6 PB, 7 WB, 6 CB). Both versions were rigorously validated through EFA and CFA, supporting their factorial stability and suitability for these professional groups. The CBI effectively differentiates among PB, WB, and CB, providing a robust multidimensional measure. Concurrent validity testing showed significant correlations with all Maslach Burnout Inventory (MBI) domains, except Depersonalization, which exhibited weak associations with PB and WB.</p>
<p>Even with the cross-sectional design is appropriate for this type of research, it limits causal and temporal interpretations. The large, diverse sample was restricted to Khartoum, reducing generalizability to other regions. Conducting EFA and CFA on the same sample may inflate model fit and require cautious interpretation. Additionally, unmeasured socioeconomic, political, and conflict-related factors in Sudan may have influenced burnout perceptions.</p>
<p>Despite these limitations, the validated Arabic CBI versions for education, healthcare, and banking sectors provide reliable and culturally adapted tools for assessing burnout, offering valuable insights for psychologists, therapists, and policymakers to develop sector-specific interventions.</p>
<p>Future research should employ longitudinal designs to clarify causality and include perceived stress measures, conflict exposure, and protective factors such as coping and social support. Expanding sampling to rural and socioeconomically diverse populations, and conducting cross-cultural comparisons across Arabic-speaking countries, would strengthen external validity and deepen understanding of burnout dynamics within varied working and cultural contexts.</p>
</sec>
</body>
<back>
<ack><p>The authors would like to thank the Ongoing Research Funding Program (ORFFT-2025-136-1), King Saud University, Riyadh, Saudi Arabia, for its financial support.</p>
</ack>
<sec>
<title>Funding Statement</title>
<p>This research was funded by King Saud University, Riyadh, Saudi Arabia, grant number (ORFFT-2025-136-1).</p>
</sec>
<sec>
<title>Author Contributions</title>
<p>The authors confirm contribution to the paper as follows: Conceptualization, Abdo Hasan AL-Qadri and Salaheldin Farah Bakhiet; methodology, Abdo Hasan AL-Qadri and Mohammed Ateik Al-Khadher; software, Nadia Saraa; validation, Abdo Hasan AL-Qadri, Nadia Saraa and Ahmed Abdalmonem Mohmed Ahmed; formal analysis, Mohammed Ateik Al-Khadher; investigation, Abdo Hasan AL-Qadri; data curation, Ismael Salamah Albursan; writing&#x2014;original draft preparation, Abdo Hasan AL-Qadri; writing&#x2014;review and editing, Hazim M. Alhaqbani; visualization, Pengfei Chen; supervision, Abdullah Saad Almutairi; project administration, Ahmed Abdalmonem Mohmed Ahmed; funding acquisition, Ismael Salamah Albursan. All authors reviewed the results and approved the final version of the manuscript.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of Data and Materials</title>
<p>The data are available upon request.</p>
</sec>
<sec>
<title>Ethics Approval</title>
<p>Data were collected using the CBI, distributed by institutional volunteers. Ethical approval was granted by the University of Khartoum, Faculty of Arts Research Board (No. 4&#x2013;81, Oct 2022). Participants provided informed consent and were assured confidentiality, with all procedures conducted in accordance with relevant guidelines and regulations.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of Interest</title>
<p>The authors declare no conflicts of interest to report regarding the present study.</p>
</sec>
<app-group id="appg-1">
<app id="app-1">
<title>Appendix A</title>
<table-wrap id="table-7">
<label>Table A1</label>
<caption>
<title>Factor loadings and communalities (H<sup>2</sup>) of CBI</title>
</caption>
<table>
<colgroup>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th rowspan="2" align="center">Group</th>
<th rowspan="2" align="center">Item no.</th>
<th colspan="4">Descriptive statistics</th>
<th colspan="3">Factors</th>
<th rowspan="2" align="center">H<bold><sup>2</sup></bold></th>
</tr>
<tr>
<th>M</th>
<th>SD</th>
<th>Skewness</th>
<th>Kurtosis</th>
<th align="center">Personal burnout (PB)</th>
<th align="center">Work-related burnout (WB)</th>
<th align="center">Client-related burnout (CB)</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="19"><bold>Teachers</bold></td>
<td>1</td>
<td>2.78</td>
<td>1.345</td>
<td>0.236</td>
<td>&#x2212;1.251</td>
<td>0.835</td>
<td></td>
<td></td>
<td>0.635</td>
</tr>
<tr>
<td>2</td>
<td>2.71</td>
<td>1.310</td>
<td>0.200</td>
<td>&#x2212;1.233</td>
<td>0.984</td>
<td></td>
<td></td>
<td>0.591</td>
</tr>
<tr>
<td>3</td>
<td>2.44</td>
<td>1.326</td>
<td>0.513</td>
<td>&#x2212;1.013</td>
<td>0.725</td>
<td></td>
<td></td>
<td>0.466</td>
</tr>
<tr>
<td>4</td>
<td>2.15</td>
<td>1.298</td>
<td>0.735</td>
<td>&#x2212;0.805</td>
<td>0.535</td>
<td></td>
<td></td>
<td>0.584</td>
</tr>
<tr>
<td>5</td>
<td>2.59</td>
<td>1.375</td>
<td>0.345</td>
<td>&#x2212;1.205</td>
<td>0.781</td>
<td></td>
<td></td>
<td>0.599</td>
</tr>
<tr>
<td>6</td>
<td>2.53</td>
<td>1.356</td>
<td>0.349</td>
<td>&#x2212;1.215</td>
<td>0.612</td>
<td></td>
<td></td>
<td>0.563</td>
</tr>
<tr>
<td>7</td>
<td>2.99</td>
<td>1.374</td>
<td>&#x2212;0.080</td>
<td>&#x2212;1.323</td>
<td></td>
<td>0.774</td>
<td></td>
<td>0.494</td>
</tr>
<tr>
<td>8</td>
<td>2.10</td>
<td>1.310</td>
<td>0.827</td>
<td>&#x2212;0.667</td>
<td></td>
<td>0.778</td>
<td></td>
<td>0.499</td>
</tr>
<tr>
<td>9</td>
<td>2.24</td>
<td>1.328</td>
<td>0.722</td>
<td>&#x2212;0.746</td>
<td></td>
<td>0.751</td>
<td></td>
<td>0.594</td>
</tr>
<tr>
<td>10</td>
<td>2.67</td>
<td>1.426</td>
<td>0.245</td>
<td>&#x2212;1.345</td>
<td></td>
<td>0.848</td>
<td></td>
<td>0.389</td>
</tr>
<tr>
<td>11</td>
<td>2.68</td>
<td>1.450</td>
<td>0.212</td>
<td>&#x2212;1.372</td>
<td></td>
<td>0.892</td>
<td></td>
<td>0.598</td>
</tr>
<tr>
<td>12</td>
<td>2.02</td>
<td>1.333</td>
<td>1.024</td>
<td>&#x2212;0.290</td>
<td></td>
<td>0.976</td>
<td></td>
<td>0.571</td>
</tr>
<tr>
<td>13</td>
<td>2.39</td>
<td>1.340</td>
<td>0.505</td>
<td>&#x2212;1.045</td>
<td></td>
<td>0.995</td>
<td></td>
<td>0.603</td>
</tr>
<tr>
<td>14</td>
<td>2.36</td>
<td>1.361</td>
<td>0.537</td>
<td>&#x2212;1.064</td>
<td></td>
<td></td>
<td>0.952</td>
<td>0.618</td>
</tr>
<tr>
<td>15</td>
<td>2.39</td>
<td>1.377</td>
<td>0.547</td>
<td>&#x2212;1.046</td>
<td></td>
<td></td>
<td>0.908</td>
<td>0.744</td>
</tr>
<tr>
<td>16</td>
<td>1.92</td>
<td>1.286</td>
<td>1.165</td>
<td>0.026</td>
<td></td>
<td></td>
<td>0.913</td>
<td>0.672</td>
</tr>
<tr>
<td>17</td>
<td>2.74</td>
<td>1.613</td>
<td>0.214</td>
<td>&#x2212;1.566</td>
<td></td>
<td></td>
<td>0.907</td>
<td>0.451</td>
</tr>
<tr>
<td>18</td>
<td>1.79</td>
<td>1.239</td>
<td>1.373</td>
<td>0.611</td>
<td></td>
<td></td>
<td>0.847</td>
<td>0.626</td>
</tr>
<tr>
<td>19</td>
<td>2.30</td>
<td>1.361</td>
<td>0.649</td>
<td>&#x2212;0.900</td>
<td></td>
<td></td>
<td>0.940</td>
<td>0.753</td>
</tr>
<tr>
<td rowspan="19"><bold>Medical staff</bold></td>
<td>1</td>
<td>3.77</td>
<td>1.101</td>
<td>&#x2212;0.681</td>
<td>&#x2212;0.072</td>
<td>0.762</td>
<td></td>
<td></td>
<td>0.532</td>
</tr>
<tr>
<td>2</td>
<td>3.84</td>
<td>1.066</td>
<td>&#x2212;0.636</td>
<td>&#x2212;0.171</td>
<td>0.899</td>
<td></td>
<td></td>
<td>0.837</td>
</tr>
<tr>
<td>3</td>
<td>3.90</td>
<td>1.010</td>
<td>&#x2212;0.552</td>
<td>&#x2212;0.355</td>
<td>0.871</td>
<td></td>
<td></td>
<td>0.772</td>
</tr>
<tr>
<td>4</td>
<td>3.90</td>
<td>1.029</td>
<td>&#x2212;0.522</td>
<td>&#x2212;0.425</td>
<td>0.882</td>
<td></td>
<td></td>
<td>0.778</td>
</tr>
<tr>
<td>5</td>
<td>3.90</td>
<td>1.006</td>
<td>&#x2212;0.605</td>
<td>&#x2212;0.105</td>
<td>0.895</td>
<td></td>
<td></td>
<td>0.819</td>
</tr>
<tr>
<td>6</td>
<td>4.01</td>
<td>0.973</td>
<td>&#x2212;0.589</td>
<td>&#x2212;0.332</td>
<td>0.796</td>
<td></td>
<td></td>
<td>0.724</td>
</tr>
<tr>
<td>7</td>
<td>3.89</td>
<td>1.000</td>
<td>&#x2212;0.507</td>
<td>&#x2212;0.299</td>
<td></td>
<td>0.757</td>
<td></td>
<td>0.671</td>
</tr>
<tr>
<td>8</td>
<td>3.72</td>
<td>1.083</td>
<td>&#x2212;0.428</td>
<td>&#x2212;0.485</td>
<td></td>
<td>0.690</td>
<td></td>
<td>0.473</td>
</tr>
<tr>
<td>9</td>
<td>3.83</td>
<td>1.049</td>
<td>&#x2212;0.494</td>
<td>&#x2212;0.510</td>
<td></td>
<td>0.748</td>
<td></td>
<td>0.559</td>
</tr>
<tr>
<td>10</td>
<td>3.84</td>
<td>0.984</td>
<td>&#x2212;0.411</td>
<td>&#x2212;0.379</td>
<td></td>
<td>0.862</td>
<td></td>
<td>0.760</td>
</tr>
<tr>
<td>11</td>
<td>3.84</td>
<td>0.957</td>
<td>&#x2212;0.333</td>
<td>&#x2212;0.621</td>
<td></td>
<td>0.853</td>
<td></td>
<td>0.694</td>
</tr>
<tr>
<td>12</td>
<td>3.91</td>
<td>1.040</td>
<td>&#x2212;0.620</td>
<td>&#x2212;0.208</td>
<td></td>
<td>0.832</td>
<td></td>
<td>0.684</td>
</tr>
<tr>
<td>13</td>
<td>3.78</td>
<td>1.126</td>
<td>&#x2212;0.493</td>
<td>&#x2212;0.717</td>
<td></td>
<td>0.642</td>
<td></td>
<td>0.412</td>
</tr>
<tr>
<td>14</td>
<td>3.98</td>
<td>1.003</td>
<td>&#x2212;0.614</td>
<td>&#x2212;0.233</td>
<td></td>
<td></td>
<td>0.682</td>
<td>0.529</td>
</tr>
<tr>
<td>15</td>
<td>3.95</td>
<td>0.975</td>
<td>&#x2212;0.382</td>
<td>&#x2212;0.801</td>
<td></td>
<td></td>
<td>0.791</td>
<td>0.635</td>
</tr>
<tr>
<td>16</td>
<td>3.86</td>
<td>0.998</td>
<td>&#x2212;0.350</td>
<td>&#x2212;0.713</td>
<td></td>
<td></td>
<td>0.824</td>
<td>0.695</td>
</tr>
<tr>
<td>17</td>
<td>3.88</td>
<td>0.988</td>
<td>&#x2212;0.407</td>
<td>&#x2212;0.528</td>
<td></td>
<td></td>
<td>0.444</td>
<td>0.451</td>
</tr>
<tr>
<td>18</td>
<td>3.92</td>
<td>1.021</td>
<td>&#x2212;0.700</td>
<td>0.091</td>
<td></td>
<td></td>
<td>0.788</td>
<td>0.649</td>
</tr>
<tr>
<td>19</td>
<td>3.89</td>
<td>0.992</td>
<td>&#x2212;0.537</td>
<td>&#x2212;0.204</td>
<td></td>
<td></td>
<td>0.819</td>
<td>0.653</td>
</tr>
<tr>
<td rowspan="19"><bold>Bank employees</bold></td>
<td>1</td>
<td>3.89</td>
<td>0.983</td>
<td>&#x2212;0.648</td>
<td>0.155</td>
<td>0.778</td>
<td></td>
<td></td>
<td>0.817</td>
</tr>
<tr>
<td>2</td>
<td>3.96</td>
<td>1.025</td>
<td>&#x2212;0.648</td>
<td>&#x2212;0.223</td>
<td>0.756</td>
<td></td>
<td></td>
<td>0.844</td>
</tr>
<tr>
<td>3</td>
<td>3.97</td>
<td>1.014</td>
<td>&#x2212;0.673</td>
<td>&#x2212;0.129</td>
<td>0.504</td>
<td></td>
<td></td>
<td>0.795</td>
</tr>
<tr>
<td>4</td>
<td>3.99</td>
<td>0.998</td>
<td>&#x2212;0.608</td>
<td>&#x2212;0.356</td>
<td>0.419</td>
<td></td>
<td></td>
<td>0.812</td>
</tr>
<tr>
<td>5</td>
<td>3.95</td>
<td>1.020</td>
<td>&#x2212;0.696</td>
<td>&#x2212;0.099</td>
<td>0.663</td>
<td></td>
<td></td>
<td>0.746</td>
</tr>
<tr>
<td>6</td>
<td>4.03</td>
<td>1.030</td>
<td>&#x2212;0.813</td>
<td>0.002</td>
<td>0.614</td>
<td></td>
<td></td>
<td>0.574</td>
</tr>
<tr>
<td>7</td>
<td>3.99</td>
<td>1.002</td>
<td>&#x2212;0.628</td>
<td>&#x2212;0.241</td>
<td></td>
<td>0.578</td>
<td></td>
<td>0.780</td>
</tr>
<tr>
<td>8</td>
<td>3.97</td>
<td>1.016</td>
<td>&#x2212;0.568</td>
<td>&#x2212;0.483</td>
<td></td>
<td>0.599</td>
<td></td>
<td>0.816</td>
</tr>
<tr>
<td>9</td>
<td>3.96</td>
<td>0.999</td>
<td>&#x2212;0.606</td>
<td>&#x2212;0.241</td>
<td></td>
<td>0.718</td>
<td></td>
<td>0.805</td>
</tr>
<tr>
<td>10</td>
<td>3.92</td>
<td>1.016</td>
<td>&#x2212;0.518</td>
<td>&#x2212;0.428</td>
<td></td>
<td>0.557</td>
<td></td>
<td>0.813</td>
</tr>
<tr>
<td>11</td>
<td>3.95</td>
<td>1.020</td>
<td>&#x2212;0.646</td>
<td>&#x2212;0.182</td>
<td></td>
<td>0.588</td>
<td></td>
<td>0.806</td>
</tr>
<tr>
<td>12</td>
<td>3.97</td>
<td>0.981</td>
<td>&#x2212;0.609</td>
<td>&#x2212;0.141</td>
<td></td>
<td>0.597</td>
<td></td>
<td>0.805</td>
</tr>
<tr>
<td>13</td>
<td>3.92</td>
<td>0.989</td>
<td>&#x2212;0.480</td>
<td>&#x2212;0.440</td>
<td></td>
<td>0.401</td>
<td></td>
<td>0.836</td>
</tr>
<tr>
<td>14</td>
<td>4.05</td>
<td>1.000</td>
<td>&#x2212;0.783</td>
<td>&#x2212;0.001</td>
<td></td>
<td></td>
<td>0.718</td>
<td>0.900</td>
</tr>
<tr>
<td>15</td>
<td>4.04</td>
<td>1.038</td>
<td>&#x2212;0.888</td>
<td>0.249</td>
<td></td>
<td></td>
<td>0.809</td>
<td>0.821</td>
</tr>
<tr>
<td>16</td>
<td>4.07</td>
<td>1.004</td>
<td>&#x2212;0.789</td>
<td>&#x2212;0.115</td>
<td></td>
<td></td>
<td>0.608</td>
<td>0.832</td>
</tr>
<tr>
<td>17</td>
<td>4.02</td>
<td>1.054</td>
<td>&#x2212;0.832</td>
<td>0.062</td>
<td></td>
<td></td>
<td>0.657</td>
<td>0.832</td>
</tr>
<tr>
<td>18</td>
<td>4.00</td>
<td>1.031</td>
<td>&#x2212;0.801</td>
<td>0.076</td>
<td></td>
<td></td>
<td>0.503</td>
<td>0.734</td>
</tr>
<tr>
<td>19</td>
<td>4.09</td>
<td>1.008</td>
<td>&#x2212;0.835</td>
<td>0.025</td>
<td></td>
<td></td>
<td>0.812</td>
<td>0.885</td>
</tr>
</tbody>
</table>
</table-wrap>
</app>
</app-group>
<ref-list content-type="authoryear">
<title>References</title>
<ref id="ref-1"><label>Adebayo (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Adebayo</surname>, <given-names>B. S.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Work-induced stress and job performance of academic staff in the University of Ilorin, Nigeria</article-title>. <source>Indonesian Journal of Multidiciplinary Research</source>, <volume>2</volume>(<issue>2</issue>), <fpage>317</fpage>&#x2013;<lpage>326</lpage>. <pub-id pub-id-type="doi">10.17509/ijomr.v2i2.42784</pub-id></mixed-citation></ref>
<ref id="ref-2"><label>Aguayo-Estremera et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Aguayo-Estremera</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Ca&#x00F1;adas</surname>, <given-names>G. R.</given-names></string-name>, <string-name><surname>Ortega-Campos</surname>, <given-names>E.</given-names></string-name>, <string-name><surname>Ariza</surname>, <given-names>T.</given-names></string-name>, &#x0026; <string-name><surname>De la Fuente-Solana</surname>, <given-names>E. I.</given-names>, </string-name></person-group> (<year>2023</year>). <article-title>Validity evidence for the internal structure of the Maslach Burnout Inventory-student survey: A comparison between classical CFA model and the ESEM and the bifactor models</article-title>. <source>Mathematics</source>, <volume>11</volume>(<issue>6</issue>), <fpage>1515</fpage>. <pub-id pub-id-type="doi">10.3390/math11061515</pub-id></mixed-citation></ref>
<ref id="ref-3"><label>Ahmed et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ahmed</surname>, <given-names>M. M.</given-names></string-name>, <string-name><surname>Abdulhamid</surname>, <given-names>O. H.</given-names></string-name>, &#x0026; <string-name><surname>Suleiman</surname>, <given-names>I. E. E.</given-names></string-name></person-group> (<year>2021</year>). <article-title>The prevalence and factors associated with burnout among sudanese health care professionals at primary health care centers in Wad Madani Al-Kubra (Sudan), and Sharjah (UAE), 20 October&#x2013;20 November 2020</article-title>. <source>Academic Journal of Research and Scientific Publishing</source>, <volume>3</volume>(<issue>26</issue>), <fpage>5</fpage>&#x2013;<lpage>27</lpage>. <pub-id pub-id-type="doi">10.52132/Ajrsp.e.2021.261</pub-id></mixed-citation></ref>
<ref id="ref-4"><label>Al-Khadher et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Al-Khadher</surname>, <given-names>M. A.</given-names></string-name>, <string-name><surname>Alghamdi</surname>, <given-names>A. A.</given-names></string-name>, <string-name><surname>Saraa</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>Albursan</surname>, <given-names>I. S.</given-names></string-name>, <string-name><surname>Bakhiet</surname>, <given-names>S. F.</given-names></string-name>, &#x0026; <string-name><surname>AL-Qadri</surname>, <given-names>A. H.</given-names></string-name></person-group> (<year>2024</year>). <article-title>The dimensional validity and reliability of the Italian smartphone addiction inventory of Yemeni university students</article-title>. <source>Acta Psychologica</source>, <volume>250</volume>(<issue>2</issue>), <fpage>104493</fpage>. <pub-id pub-id-type="doi">10.1016/j.actpsy.2024.104493</pub-id>; <pub-id pub-id-type="pmid">39288693</pub-id></mixed-citation></ref>
<ref id="ref-5"><label>AL-Qadri and Zhao (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>AL-Qadri</surname>, <given-names>A. H.</given-names></string-name>, &#x0026; <string-name><surname>Zhao</surname>, <given-names>W.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Preparation of an observation card to measure the developmental learning difficulties among primary school students in Sana&#x2019;a City, Yemen</article-title>. <source>South African Journal of Education</source>, <volume>41</volume>(<issue>2</issue>), <fpage>1</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.15700/saje.v41n2a1720</pub-id></mixed-citation></ref>
<ref id="ref-6"><label>Alvey (2020)</label><mixed-citation publication-type="other"><person-group person-group-type="author"><string-name><surname>Alvey</surname>, <given-names>H. L.</given-names></string-name></person-group> (<year>2020</year>). <article-title><italic>Evaluating burnout in direct support professionals in america: an exploratory factor analysis of the Copenhagen burnout inventory</italic> [dissertation]. Louisville, KY, USA: Spalding University</article-title>.</mixed-citation></ref>
<ref id="ref-7"><label>American Psychiatric Association (2022)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><collab>American Psychiatric Association</collab></person-group> (<year>2022</year>). <source>Diagnostic and statistical manual of mental disorders</source>. <edition>5th ed</edition>. <publisher-loc>Arlington, VA, USA</publisher-loc>: <publisher-name>American Psychiatric Publishing</publisher-name>.</mixed-citation></ref>
<ref id="ref-8"><label>Bakker and de Vries (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bakker</surname>, <given-names>A. B.</given-names></string-name>, &#x0026; <string-name><surname>de Vries</surname>, <given-names>J. D.</given-names>, </string-name></person-group> (<year>2021</year>). <article-title>Job demands-resources theory and self-regulation: New explanations and remedies for job burnout</article-title>. <source>Anxiety, Stress &#x0026; Coping</source>, <volume>34</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>21</lpage>. <pub-id pub-id-type="doi">10.1080/10615806.2020.1797695</pub-id>; <pub-id pub-id-type="pmid">32856957</pub-id></mixed-citation></ref>
<ref id="ref-9"><label>Bakker et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bakker</surname>, <given-names>A. B.</given-names></string-name>, <string-name><surname>Xanthopoulou</surname>, <given-names>D.</given-names></string-name>, &#x0026; <string-name><surname>Demerouti</surname>, <given-names>E.</given-names></string-name></person-group> (<year>2023</year>). <article-title>How does chronic burnout affect dealing with weekly job demands? A test of central propositions in JD-R and COR-theories</article-title>. <source>Applied Psychology</source>, <volume>72</volume>(<issue>1</issue>), <fpage>389</fpage>&#x2013;<lpage>410</lpage>. <pub-id pub-id-type="doi">10.1111/apps.12382</pub-id></mixed-citation></ref>
<ref id="ref-10"><label>Barton et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Barton</surname>, <given-names>M. A.</given-names></string-name>, <string-name><surname>Lall</surname>, <given-names>M. D.</given-names></string-name>, <string-name><surname>Johnston</surname>, <given-names>M. M.</given-names></string-name>, <string-name><surname>Lu</surname>, <given-names>D. W.</given-names></string-name>, <string-name><surname>Nelson</surname>, <given-names>L. S.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2022</year>). <article-title>Reliability and validity support for an abbreviated Copenhagen burnout inventory using exploratory and confirmatory factor analysis</article-title>. <source>Journal of the American College of Emergency Physicians Open</source>, <volume>3</volume>(<issue>4</issue>), <fpage>e12797</fpage>. <pub-id pub-id-type="doi">10.1002/emp2.12797</pub-id>; <pub-id pub-id-type="pmid">35949274</pub-id></mixed-citation></ref>
<ref id="ref-11"><label>Begum et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Begum</surname>, <given-names>M. S.</given-names></string-name>, <string-name><surname>Hashim</surname>, <given-names>R. A.</given-names></string-name>, <string-name><surname>Som</surname>, <given-names>H. M.</given-names></string-name>, &#x0026; <string-name><surname>Rahman</surname>, <given-names>S. M.</given-names></string-name></person-group> (<year>2024</year>). <article-title>The moderating role of person-environment fit on the relationship between job demands, job resources and work engagement among hospital nurses</article-title>. <source>Current Psychology</source>, <volume>43</volume>(<issue>31</issue>), <fpage>25760</fpage>&#x2013;<lpage>25772</lpage>. <pub-id pub-id-type="doi">10.1007/s12144-024-06255-3</pub-id></mixed-citation></ref>
<ref id="ref-12"><label>Bekker et al. (2005)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bekker</surname>, <given-names>M. H.</given-names></string-name>, <string-name><surname>Croon</surname>, <given-names>M. A.</given-names></string-name>, &#x0026; <string-name><surname>Bressers</surname>, <given-names>B.</given-names></string-name></person-group> (<year>2005</year>). <article-title>Childcare involvement, job characteristics, gender and work attitudes as predictors of emotional exhaustion and sickness absence</article-title>. <source>Work &#x0026; Stress</source>, <volume>19</volume>(<issue>3</issue>), <fpage>221</fpage>&#x2013;<lpage>237</lpage>. <pub-id pub-id-type="doi">10.1080/02678370500286095</pub-id></mixed-citation></ref>
<ref id="ref-13"><label>Bolatov et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Bolatov</surname> <given-names>A. K.</given-names></string-name>, <string-name><surname>Seisembekov</surname> <given-names>T. Z.</given-names></string-name>, <string-name><surname>Askarova</surname> <given-names>A. Z.</given-names></string-name>, <string-name><surname>Igenbayeva</surname> <given-names>B.</given-names></string-name>, <string-name><surname>Smailova</surname> <given-names>D. S.</given-names></string-name>, &#x0026; <string-name><surname>Hosseini</surname> <given-names>H.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Psychometric properties of the Copenhagen burnout inventory in a sample of medical students in Kazakhstan</article-title>. <source>Psychology in Russia: State of the Art</source>, <volume>14</volume>(<issue>2</issue>), <fpage>15</fpage>&#x2013;<lpage>24</lpage>. <pub-id pub-id-type="doi">10.11621/pir.2021.0202</pub-id>; <pub-id pub-id-type="pmid">36810989</pub-id></mixed-citation></ref>
<ref id="ref-14"><label>Calin et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Calin</surname>, <given-names>M. F.</given-names></string-name>, <string-name><surname>Tasente</surname>, <given-names>T.</given-names></string-name>, &#x0026; <string-name><surname>Seucea</surname>, <given-names>A.</given-names></string-name></person-group> (<year>2022</year>). <article-title>The effects of burnout on the professional activity of teachers</article-title>. <source>Technium Social Sciences Journal</source>, <volume>34</volume>(<issue>1</issue>), <fpage>430</fpage>. <pub-id pub-id-type="doi">10.47577/tssj.v34i1.7156</pub-id></mixed-citation></ref>
<ref id="ref-15"><label>Campos et al. (2013)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Campos</surname>, <given-names>J. A. D. B.</given-names></string-name>, <string-name><surname>Carlotto</surname>, <given-names>M. S.</given-names></string-name>, &#x0026; <string-name><surname>Mar&#x00F4;co</surname>, <given-names>J.</given-names></string-name></person-group> (<year>2013</year>). <article-title>Copenhagen burnout inventory&#x2014;student version: Adaptation and transcultural validation for Portugal and Brazil</article-title>. <source>Psicologia: Reflex&#x00E3;o e Cr&#x00ED;tica</source>, <volume>26</volume>(<issue>1</issue>), <fpage>87</fpage>&#x2013;<lpage>97</lpage>. <pub-id pub-id-type="doi">10.1590/S0102-79722013000100010</pub-id></mixed-citation></ref>
<ref id="ref-16"><label>Ed&#x00FA;-Valsania et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ed&#x00FA;-Valsania</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Lagu&#x00ED;a</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Moriano</surname>, <given-names>J. A.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Burnout: A review of theory and measurement</article-title>. <source>International Journal of Environmental Research and Public Health</source>, <volume>19</volume>(<issue>3</issue>), <fpage>1780</fpage>. <pub-id pub-id-type="doi">10.3390/ijerph19031780</pub-id>; <pub-id pub-id-type="pmid">35162802</pub-id></mixed-citation></ref>
<ref id="ref-17"><label>El Dabbah and Elhadi (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>El Dabbah</surname>, <given-names>N. A.</given-names></string-name>, &#x0026; <string-name><surname>Elhadi</surname>, <given-names>Y. A. M.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Burnout among frontline health professionals in two African countries: A cross sectional study from Egypt and Sudan</article-title>. <source>Research Square</source>. 2021. <pub-id pub-id-type="doi">10.21203/rs.3.rs-951355/v1</pub-id></mixed-citation></ref>
<ref id="ref-18"><label>Elssalih (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Elssalih</surname>, <given-names>E. A.</given-names></string-name></person-group> (<year>2021</year>). <article-title>The level of teachers&#x2019; job satisfaction in secondary schools of East Darfur state in Sudan</article-title>. <source>Technium Social Sciences Journal</source>, <volume>21</volume>, <fpage>250</fpage>. <pub-id pub-id-type="doi">10.47577/tssj.v21i1.3754</pub-id></mixed-citation></ref>
<ref id="ref-19"><label>Enfield (2021)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Enfield</surname>, <given-names>S.</given-names></string-name></person-group> (<year>2021</year>). <source>Holy American burnout! Essays</source>. <publisher-loc>Fairbanks, AK, USA</publisher-loc>: <publisher-name>University of Alaska Fairbanks</publisher-name>.</mixed-citation></ref>
<ref id="ref-20"><label>Euwema et al. (2004)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Euwema</surname>, <given-names>M. C.</given-names></string-name>, <string-name><surname>Kop</surname>, <given-names>N.</given-names></string-name>, &#x0026; <string-name><surname>Bakker</surname>, <given-names>A. B.</given-names></string-name></person-group> (<year>2004</year>). <article-title>The behaviour of police officers in conflict situations: How burnout and reduced dominance contribute to better outcomes</article-title>. <source>Work &#x0026; Stress</source>, <volume>18</volume>(<issue>1</issue>), <fpage>23</fpage>&#x2013;<lpage>38</lpage>. <pub-id pub-id-type="doi">10.1080/0267837042000209767</pub-id></mixed-citation></ref>
<ref id="ref-21"><label>Fadare et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Fadare</surname>, <given-names>O. O.</given-names></string-name>, <string-name><surname>Andreski</surname>, <given-names>M.</given-names></string-name>, &#x0026; <string-name><surname>Witry</surname>, <given-names>M. J.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Validation of the Copenhagen burnout inventory in pharmacists</article-title>. <source>Innovations in Pharmacy</source>, <volume>12</volume>(<issue>2</issue>), <fpage>4</fpage>. <pub-id pub-id-type="doi">10.24926/iip.v12i2.3699</pub-id>; <pub-id pub-id-type="pmid">34345510</pub-id></mixed-citation></ref>
<ref id="ref-22"><label>Field (2009)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Field</surname>, <given-names>A.</given-names></string-name></person-group> (<year>2009</year>). <source>Discovering statistics using SPSS</source>. <publisher-loc>London, UK</publisher-loc>: <publisher-name>SAGE Publications</publisher-name>.</mixed-citation></ref>
<ref id="ref-23"><label>Galanakis and Tsitouri (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Galanakis</surname>, <given-names>M. D.</given-names></string-name>, &#x0026; <string-name><surname>Tsitouri</surname>, <given-names>E.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Positive psychology in the working environment. Job demands-resources theory, work engagement and burnout: A systematic literature review</article-title>. <source>Frontiers in Psychology</source>, <volume>13</volume>, <fpage>1022102</fpage>. <pub-id pub-id-type="doi">10.3389/fpsyg.2022.1022102</pub-id>; <pub-id pub-id-type="pmid">36204770</pub-id></mixed-citation></ref>
<ref id="ref-24"><label>Gonz&#x00E1;lez-Rodr&#x00ED;guez et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gonz&#x00E1;lez-Rodr&#x00ED;guez</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Dominguez Alonso</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Verde-Diego</surname>, <given-names>C.</given-names></string-name>, &#x0026; <string-name><surname>Frieiro Padin</surname>, <given-names>P.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Psychometric properties of the Maslach Burnout Inventory-human services in social work professionals in Spain</article-title>. <source>Health &#x0026; Social Care in the Community</source>, <volume>30</volume>(<issue>3</issue>), <fpage>949</fpage>&#x2013;<lpage>956</lpage>. <pub-id pub-id-type="doi">10.1111/hsc.13256</pub-id>; <pub-id pub-id-type="pmid">33340376</pub-id></mixed-citation></ref>
<ref id="ref-25"><label>Guthier et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Guthier</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Dormann</surname>, <given-names>C.</given-names></string-name>, &#x0026; <string-name><surname>Voelkle</surname>, <given-names>M. C.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Reciprocal effects between job stressors and burnout: A continuous time meta-analysis of longitudinal studies</article-title>. <source>Psychological Bulletin</source>, <volume>146</volume>(<issue>12</issue>), <fpage>1146</fpage>&#x2013;<lpage>1173</lpage>. <pub-id pub-id-type="doi">10.1037/bul0000304</pub-id>; <pub-id pub-id-type="pmid">33119345</pub-id></mixed-citation></ref>
<ref id="ref-26"><label>Hair et al. (2019)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Hair</surname>, <given-names>J. F.</given-names></string-name>, <string-name><surname>Black</surname>, <given-names>W. C.</given-names></string-name>, <string-name><surname>Babin</surname>, <given-names>B. J.</given-names></string-name>, &#x0026; <string-name><surname>Anderson</surname>, <given-names>R. E.</given-names></string-name></person-group> (<year>2019</year>). <source>Multivariate data analysis</source>. <edition>8th ed</edition>. <publisher-loc>Singapore</publisher-loc>: <publisher-name>Cengage</publisher-name>.</mixed-citation></ref>
<ref id="ref-27"><label>Hall et al. (2016)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hall</surname>, <given-names>L. H.</given-names></string-name>, <string-name><surname>Johnson</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Watt</surname>, <given-names>I.</given-names></string-name>, <string-name><surname>Tsipa</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>O&#x2019;Connor</surname>, <given-names>D. B.</given-names></string-name></person-group> (<year>2016</year>). <article-title>Healthcare staff wellbeing, burnout, and patient safety: A systematic review</article-title>. <source>PLoS One</source>, <volume>11</volume>(<issue>7</issue>), <fpage>e0159015</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0159015</pub-id>; <pub-id pub-id-type="pmid">27391946</pub-id></mixed-citation></ref>
<ref id="ref-28"><label>Hamid et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hamid</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Thron</surname>, <given-names>C.</given-names></string-name>, &#x0026; <string-name><surname>Fageeri</surname>, <given-names>S.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Status and trends in university admissions for women in sudan: A graphical data analysis</article-title>. <source>Social Sciences &#x0026; Humanities Open</source>, <volume>2</volume>(<issue>1</issue>), <fpage>100076</fpage>. <pub-id pub-id-type="doi">10.1016/j.ssaho.2020.100076</pub-id></mixed-citation></ref>
<ref id="ref-29"><label>Hillert et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Hillert</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Albrecht</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Voderholzer</surname>, <given-names>U.</given-names></string-name></person-group> (<year>2020</year>). <article-title>The burnout phenomenon: A R&#x00E9;sum&#x00E9; after more than 15,000 scientific publications</article-title>. <source>Frontiers in Psychiatry</source>, <volume>11</volume>, <fpage>519237</fpage>. <pub-id pub-id-type="doi">10.3389/fpsyt.2020.519237</pub-id>; <pub-id pub-id-type="pmid">33424648</pub-id></mixed-citation></ref>
<ref id="ref-30"><label>Johnson (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Johnson</surname>, <given-names>M. W.</given-names></string-name></person-group> (<year>2024</year>). <article-title>Use of the Copenhagen Burnout Inventory among US academic librarians: Examining construct validity through factor structure and model fit</article-title>. <source>The Journal of Academic Librarianship</source>, <volume>50</volume>(<issue>5</issue>), <fpage>102922</fpage>. <pub-id pub-id-type="doi">10.1016/j.acalib.2024.102922</pub-id></mixed-citation></ref>
<ref id="ref-31"><label>Jooste (2020)</label><mixed-citation publication-type="other"><person-group person-group-type="author"><string-name><surname>Jooste</surname>, <given-names>M.</given-names></string-name></person-group> (<year>2020</year>). <article-title><italic>The role of emotion, psychophysiological markers of burnout and their relevance within the leadership pipeline</italic> [dissertation]. Pretoria, South Africa: University of Pretoria</article-title>.</mixed-citation></ref>
<ref id="ref-32"><label>Kaiser (1974)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kaiser</surname>, <given-names>H. F.</given-names></string-name></person-group> (<year>1974</year>). <article-title>An index of factorial simplicity</article-title>. <source>Psychometrika</source>, <volume>39</volume>, <fpage>31</fpage>&#x2013;<lpage>36</lpage>. <pub-id pub-id-type="doi">10.1007/BF02291575</pub-id></mixed-citation></ref>
<ref id="ref-33"><label>Kline (2016)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Kline</surname>, <given-names>R. B.</given-names></string-name></person-group> (<year>2016</year>). <source>Principles and practice of structural equation modeling</source>. <edition>4th ed</edition>. <publisher-loc>New York, NY, USA</publisher-loc>: <publisher-name>Guilford Press</publisher-name>.</mixed-citation></ref>
<ref id="ref-34"><label>Koutsimani et al. (2019)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Koutsimani</surname>, <given-names>P.</given-names></string-name>, <string-name><surname>Montgomery</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Georganta</surname>, <given-names>K.</given-names></string-name></person-group> (<year>2019</year>). <article-title>The relationship between burnout, depression, and anxiety: A systematic review and meta-analysis</article-title>. <source>Frontiers in Psychology</source>, <volume>10</volume>, <fpage>429219</fpage>. <pub-id pub-id-type="doi">10.3389/fpsyg.2019.00284</pub-id>; <pub-id pub-id-type="pmid">30918490</pub-id></mixed-citation></ref>
<ref id="ref-35"><label>Kristensen et al. (2005)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Kristensen</surname>, <given-names>T. S.</given-names></string-name>, <string-name><surname>Borritz</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Villadsen</surname>, <given-names>E.</given-names></string-name>, &#x0026; <string-name><surname>Christensen</surname>, <given-names>K. B.</given-names></string-name></person-group> (<year>2005</year>). <article-title>The Copenhagen Burnout Inventory: A new tool for the assessment of burnout</article-title>. <source>Work &#x0026; Stress</source>, <volume>19</volume>(<issue>3</issue>), <fpage>192</fpage>&#x2013;<lpage>207</lpage>. <pub-id pub-id-type="doi">10.1080/02678370500297720</pub-id></mixed-citation></ref>
<ref id="ref-36"><label>Li et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Li</surname>, <given-names>H.</given-names></string-name>, <string-name><surname>Dance</surname>, <given-names>E.</given-names></string-name>, <string-name><surname>Poonja</surname>, <given-names>Z.</given-names></string-name>, <string-name><surname>Aguilar</surname>, <given-names>L. S.</given-names></string-name>, &#x0026; <string-name><surname>Colmers-Gray</surname>, <given-names>I.</given-names></string-name></person-group> (<year>2024</year>). <article-title>Agreement between the maslach burnout inventory and the Copenhagen Burnout Inventory among emergency physicians and trainees</article-title>. <source>Academic Emergency Medicine</source>, <volume>31</volume>(<issue>12</issue>), <fpage>1243</fpage>&#x2013;<lpage>1255</lpage>. <pub-id pub-id-type="doi">10.1111/acem.14994</pub-id>; <pub-id pub-id-type="pmid">39082466</pub-id></mixed-citation></ref>
<ref id="ref-37"><label>Macaulay (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Macaulay</surname>, <given-names>L.</given-names></string-name></person-group> (<year>2023</year>). <article-title>She just saw me-she didn&#x2019;t teach me: The perspectives of Australian sudanese and South Sudanese youth on the student/teacher relationship in Australian schools</article-title>. <source>The Australian Educational Researcher</source>, <volume>50</volume>(<issue>5</issue>), <fpage>1323</fpage>&#x2013;<lpage>1341</lpage>. <pub-id pub-id-type="doi">10.1007/s13384-022-00554-z</pub-id></mixed-citation></ref>
<ref id="ref-38"><label>Mahmoudi et al. (2017)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mahmoudi</surname> <given-names>S.</given-names></string-name>, <string-name><surname>Atashzadeh-Shoorideh</surname> <given-names>F.</given-names></string-name>, <string-name><surname>Rassouli</surname> <given-names>M.</given-names></string-name>, <string-name><surname>Moslemi</surname> <given-names>A.</given-names></string-name>, <string-name><surname>Pishgooie</surname> <given-names>A. H.</given-names></string-name>, &#x0026; <string-name><surname>Azimi</surname> <given-names>H.</given-names></string-name></person-group> (<year>2017</year>). <article-title>Translation and psychometric properties of the Copenhagen Burnout Inventory in Iranian nurses</article-title>. <source>Iranian Journal of Nursing and Midwifery Research</source>, <volume>22</volume>(<issue>2</issue>), <fpage>117</fpage>&#x2013;<lpage>122</lpage>. <pub-id pub-id-type="doi">10.4103/1735-9066.205958</pub-id>; <pub-id pub-id-type="pmid">28584549</pub-id></mixed-citation></ref>
<ref id="ref-39"><label>Majeed et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Majeed</surname> <given-names>F.</given-names></string-name>, <string-name><surname>Naeem Liaqat</surname></string-name>, <string-name><surname>Maqbool Hussain</surname> <given-names>M.</given-names></string-name>, <string-name><surname>Iqbal</surname> <given-names>A.</given-names></string-name>, <string-name><surname>Hashim</surname> <given-names>I.</given-names></string-name>, &#x0026; <string-name><surname>Saleem</surname> <given-names>M.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Burnout among postgraduate residents using Copenhagen Burnout Inventory</article-title>. <source>Journal of Ayub Medical College Abbottabad</source>, <volume>34</volume>(<issue>3</issue>), <fpage>463</fpage>&#x2013;<lpage>467</lpage>. <pub-id pub-id-type="doi">10.55519/JAMC-03-9594</pub-id>; <pub-id pub-id-type="pmid">36377157</pub-id></mixed-citation></ref>
<ref id="ref-40"><label>Malesic (2022)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Malesic</surname>, <given-names>J.</given-names></string-name></person-group> (<year>2022</year>). <source>The end of burnout: Why work drains us and how to build better lives</source>. <publisher-loc>Berkeley, CA, USA</publisher-loc>: <publisher-name>University of California Press</publisher-name>.</mixed-citation></ref>
<ref id="ref-41"><label>Maslach and Leiter (2016)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Maslach</surname>, <given-names>C.</given-names></string-name>, &#x0026; <string-name><surname>Leiter</surname>, <given-names>M. P.</given-names></string-name></person-group> (<year>2016</year>). <article-title>Understanding the burnout experience: Recent research and its implications for psychiatry</article-title>. <source>World Psychiatry</source>, <volume>15</volume>(<issue>2</issue>), <fpage>103</fpage>&#x2013;<lpage>111</lpage>. <pub-id pub-id-type="doi">10.1002/wps.20311</pub-id>; <pub-id pub-id-type="pmid">27265691</pub-id></mixed-citation></ref>
<ref id="ref-42"><label>Mendaglio and Swanson (2021)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Mendaglio</surname>, <given-names>S.</given-names></string-name>, &#x0026; <string-name><surname>Swanson</surname>, <given-names>D.</given-names></string-name></person-group> (<year>2021</year>). <chapter-title>Stress and burnout in rehabilitative settings</chapter-title>. In: <source>Management and administration of rehabilitation programmes</source> (pp. <fpage>257</fpage>&#x2013;<lpage>277</lpage>). <publisher-loc>London, UK</publisher-loc>: <publisher-name>Routledge</publisher-name>.</mixed-citation></ref>
<ref id="ref-43"><label>Milfont et al. (2008)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Milfont</surname>, <given-names>T. L.</given-names></string-name>, <string-name><surname>Denny</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Ameratunga</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Robinson</surname>, <given-names>E.</given-names></string-name>, &#x0026; <string-name><surname>Merry</surname>, <given-names>S.</given-names></string-name></person-group> (<year>2008</year>). <article-title>Burnout and wellbeing: Testing the Copenhagen Burnout Inventory in New Zealand teachers</article-title>. <source>Social Indicators Research</source>, <volume>89</volume>(<issue>1</issue>), <fpage>169</fpage>&#x2013;<lpage>177</lpage>. <pub-id pub-id-type="doi">10.1007/s11205-007-9229-9</pub-id></mixed-citation></ref>
<ref id="ref-44"><label>Mohiuddin (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Mohiuddin</surname>, <given-names>A.</given-names></string-name></person-group> (<year>2023</year>). <article-title>Healthcare challenges due to global conflict escalation amid the pandemic, climate, and economic dilemmas</article-title>. <source>Preprints</source>. <pub-id pub-id-type="doi">10.20944/preprints202301.0517.v1</pub-id></mixed-citation></ref>
<ref id="ref-45"><label>Montgomery et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Montgomery</surname>, <given-names>A. P.</given-names></string-name>, <string-name><surname>Azuero</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Patrician</surname>, <given-names>P. A.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Psychometric properties of Copenhagen Burnout Inventory among nurses</article-title>. <source>Research in Nursing &#x0026; Health</source>, <volume>44</volume>(<issue>2</issue>), <fpage>308</fpage>&#x2013;<lpage>318</lpage>. <pub-id pub-id-type="doi">10.1002/nur.22114</pub-id>; <pub-id pub-id-type="pmid">33598963</pub-id></mixed-citation></ref>
<ref id="ref-46"><label>M&#x00F8;ller et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>M&#x00F8;ller</surname>, <given-names>C. M.</given-names></string-name>, <string-name><surname>Clausen</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Aust</surname>, <given-names>B.</given-names></string-name>, &#x0026; <string-name><surname>Eiberg</surname>, <given-names>J. P.</given-names></string-name></person-group> (<year>2022</year>). <article-title>A cross-sectional national study of burnout and psychosocial work environment in vascular surgery in Denmark</article-title>. <source>Journal of Vascular Surgery</source>, <volume>75</volume>(<issue>5</issue>), <fpage>1750</fpage>&#x2013;<lpage>1759</lpage>. <pub-id pub-id-type="doi">10.1016/j.jvs.2021.11.042</pub-id>; <pub-id pub-id-type="pmid">34788647</pub-id></mixed-citation></ref>
<ref id="ref-47"><label>Obregon et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Obregon</surname>, <given-names>M.</given-names></string-name>, <string-name><surname>Luo</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Shelton</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Blevins</surname>, <given-names>T.</given-names></string-name>, &#x0026; <string-name><surname>MacDowell</surname>, <given-names>M.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Assessment of burnout in medical students using the Maslach Burnout Inventory-student survey: A cross-sectional data analysis</article-title>. <source>BMC Medical Education</source>, <volume>20</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1186/s12909-020-02274-3</pub-id>; <pub-id pub-id-type="pmid">33087080</pub-id></mixed-citation></ref>
<ref id="ref-48"><label>Ogunsuji et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ogunsuji</surname> <given-names>O.</given-names></string-name>, <string-name><surname>Ogundipe</surname> <given-names>H.</given-names></string-name>, <string-name><surname>Adebayo</surname> <given-names>O.</given-names></string-name>, <string-name><surname>Oladehin</surname> <given-names>T.</given-names></string-name>, <string-name><surname>Oiwoh</surname> <given-names>S.</given-names></string-name> <etal>et al</etal></person-group>. (<year>2022</year>). <article-title>Internal reliability and validity of Copenhagen burnout inventory and Oldenburg burnout inventory compared with Maslach burnout inventory among Nigerian resident doctors: A pilot study</article-title>. <source>Dubai Medical Journal</source>, <volume>5</volume>(<issue>2</issue>), <fpage>89</fpage>&#x2013;<lpage>95</lpage>. <pub-id pub-id-type="doi">10.1159/000521376</pub-id></mixed-citation></ref>
<ref id="ref-49"><label>Oke and Fernandes (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Oke</surname>, <given-names>A.</given-names></string-name>, &#x0026; <string-name><surname>Fernandes</surname>, <given-names>F. A. P.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Innovations in teaching and learning: Exploring the perceptions of the education sector on the 4th industrial revolution (4IR)</article-title>. <source>Journal of Open Innovation: Technology, Market, and Complexity</source>, <volume>6</volume>(<issue>2</issue>), <fpage>31</fpage>. <pub-id pub-id-type="doi">10.3390/joitmc6020031</pub-id></mixed-citation></ref>
<ref id="ref-50"><label>Piperac et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Piperac</surname> <given-names>P.</given-names></string-name>, <string-name><surname>Todorovic</surname> <given-names>J.</given-names></string-name>, <string-name><surname>Terzic-Supic</surname> <given-names>Z.</given-names></string-name>, <string-name><surname>Maksimovic</surname> <given-names>A.</given-names></string-name>, <string-name><surname>Karic</surname> <given-names>S.</given-names></string-name>, <string-name><surname>Pilipovic</surname> <given-names>F.</given-names></string-name>, &#x0026; <string-name><surname>Soldatovic</surname> <given-names>I.</given-names></string-name></person-group> (<year>2021</year>). <article-title>The validity and reliability of the Copenhagen Burnout Inventory for examination of burnout among preschool teachers in Serbia</article-title>. <source>International Journal of Environmental Research and Public Health</source>, <volume>18</volume>(<issue>13</issue>), <fpage>6805</fpage>. <pub-id pub-id-type="doi">10.3390/ijerph18136805</pub-id>; <pub-id pub-id-type="pmid">34202911</pub-id></mixed-citation></ref>
<ref id="ref-51"><label>Prentice et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Prentice</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Elliott</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Dorstyn</surname>, <given-names>D.</given-names></string-name>, &#x0026; <string-name><surname>Benson</surname>, <given-names>J.</given-names></string-name></person-group> (<year>2023</year>). <article-title>Burnout, wellbeing and how they relate: A qualitative study in general practice trainees</article-title>. <source>Medical Education</source>, <volume>57</volume>(<issue>3</issue>), <fpage>243</fpage>&#x2013;<lpage>255</lpage>. <pub-id pub-id-type="doi">10.1111/medu.14931</pub-id>; <pub-id pub-id-type="pmid">35997632</pub-id></mixed-citation></ref>
<ref id="ref-52"><label>Puzzo et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Puzzo</surname>, <given-names>G.</given-names></string-name>, <string-name><surname>Sbaa</surname>, <given-names>M. Y.</given-names></string-name>, <string-name><surname>Zappal&#x00E0;</surname>, <given-names>S.</given-names></string-name>, &#x0026; <string-name><surname>Pietrantoni</surname>, <given-names>L.</given-names></string-name></person-group> (<year>2024</year>). <article-title>The impact of cultural intelligence on burnout among practitioners working with migrants: An examination of age, gender, training, and language proficiency</article-title>. <source>Current Psychology</source>, <volume>43</volume>(<issue>5</issue>), <fpage>4443</fpage>&#x2013;<lpage>4457</lpage>. <pub-id pub-id-type="doi">10.1007/s12144-023-04641-x</pub-id></mixed-citation></ref>
<ref id="ref-53"><label>Rmadan and Kassahun (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Rmadan</surname>, <given-names>A. F.</given-names></string-name>, &#x0026; <string-name><surname>Kassahun</surname>, <given-names>T.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Level of job satisfaction among the Staff of Gezira University in Sudan</article-title>. <source>Electronic Research Journal of Social Sciences and Humanities</source>, <volume>3</volume>(<issue>2</issue>), <fpage>27</fpage>&#x2013;<lpage>41</lpage>.</mixed-citation></ref>
<ref id="ref-54"><label>Roth et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Roth</surname>, <given-names>C.</given-names></string-name>, <string-name><surname>Berger</surname>, <given-names>S.</given-names></string-name>, <string-name><surname>Krug</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Mahler</surname>, <given-names>C.</given-names></string-name>, &#x0026; <string-name><surname>Wensing</surname>, <given-names>M.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Internationally trained nurses and host nurses&#x2019; perceptions of safety culture, work-life-balance, burnout, and job demand during workplace integration: A cross-sectional study</article-title>. <source>BMC Nursing</source>, <volume>20</volume>(<issue>1</issue>), <fpage>1</fpage>&#x2013;<lpage>15</lpage>. <pub-id pub-id-type="doi">10.1186/s12912-021-00581-8</pub-id>; <pub-id pub-id-type="pmid">33993868</pub-id></mixed-citation></ref>
<ref id="ref-55"><label>Russo (2022)</label><mixed-citation publication-type="other"><person-group person-group-type="author"><string-name><surname>Russo</surname>, <given-names>E. M.</given-names></string-name></person-group> (<year>2022</year>). <article-title><italic>The relationship leadership style and job burnout have on turnover intention among Texas high school principals during the COVID-19 Global Pandemic</italic> [dissertation]. Commerce, TX, USA: East Texas A&#x0026;M University</article-title>.</mixed-citation></ref>
<ref id="ref-56"><label>Sakakibara et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sakakibara</surname>, <given-names>K.</given-names></string-name>, <string-name><surname>Shimazu</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Toyama</surname>, <given-names>H.</given-names></string-name>, &#x0026; <string-name><surname>Schaufeli</surname>, <given-names>W. B.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Validation of the Japanese version of the burnout assessment tool</article-title>. <source>Frontiers in Psychology</source>, <volume>11</volume>, <fpage>1819</fpage>. <pub-id pub-id-type="doi">10.3389/fpsyg.2020.01819</pub-id>; <pub-id pub-id-type="pmid">32849072</pub-id></mixed-citation></ref>
<ref id="ref-57"><label>Schaufeli et al. (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Schaufeli</surname>, <given-names>W. B.</given-names></string-name>, <string-name><surname>Desart</surname>, <given-names>S.</given-names></string-name>, &#x0026; <string-name><surname>De Witte</surname>, <given-names>H.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Burnout Assessment Tool (BAT)&#x2014;development, validity, and reliability</article-title>. <source>International Journal of Environmental Research and Public Health</source>, <volume>17</volume>(<issue>24</issue>), <fpage>9495</fpage>. <pub-id pub-id-type="doi">10.3390/ijerph17249495</pub-id>; <pub-id pub-id-type="pmid">33352940</pub-id></mixed-citation></ref>
<ref id="ref-58"><label>Shoman et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Shoman</surname>, <given-names>Y.</given-names></string-name>, <string-name><surname>Marca</surname>, <given-names>S. C.</given-names></string-name>, <string-name><surname>Bianchi</surname>, <given-names>R.</given-names></string-name>, <string-name><surname>Godderis</surname>, <given-names>L.</given-names></string-name>, <string-name><surname>van der Molen</surname>, <given-names>H. F.</given-names></string-name>, &#x0026; <string-name><surname>Canu</surname>, <given-names>I. G.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Psychometric properties of burnout measures: A systematic review</article-title>. <source>Epidemiology and Psychiatric Sciences</source>, <volume>30</volume>, <fpage>e8</fpage>. <pub-id pub-id-type="doi">10.1017/S2045796020001134</pub-id>; <pub-id pub-id-type="pmid">33436137</pub-id></mixed-citation></ref>
<ref id="ref-59"><label>Sierra and David (2011)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Sierra</surname>, <given-names>M.</given-names></string-name>, &#x0026; <string-name><surname>David</surname>, <given-names>A. S.</given-names></string-name></person-group> (<year>2011</year>). <article-title>Depersonalization: A selective impairment of self-awareness</article-title>. <source>Consciousness and Cognition</source>, <volume>20</volume>(<issue>1</issue>), <fpage>99</fpage>&#x2013;<lpage>108</lpage>. <pub-id pub-id-type="doi">10.1016/j.concog.2010.10.018</pub-id>; <pub-id pub-id-type="pmid">21087873</pub-id></mixed-citation></ref>
<ref id="ref-60"><label>Skaalvik and Skaalvik (2020)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Skaalvik</surname>, <given-names>E. M.</given-names></string-name>, &#x0026; <string-name><surname>Skaalvik</surname>, <given-names>S.</given-names></string-name></person-group> (<year>2020</year>). <article-title>Teacher burnout: Relations between dimensions of burnout, perceived school context, job satisfaction and motivation for teaching. A longitudinal study</article-title>. <source>Teachers and Teaching</source>, <volume>26</volume>(<issue>7&#x2013;8</issue>), <fpage>602</fpage>&#x2013;<lpage>616</lpage>. <pub-id pub-id-type="doi">10.1080/13540602.2021.1913404</pub-id></mixed-citation></ref>
<ref id="ref-61"><label>Smits et al. (2018)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Smits</surname>, <given-names>N.</given-names></string-name>, <string-name><surname>van der Ark</surname>, <given-names>L. A.</given-names></string-name>, &#x0026; <string-name><surname>Conijn</surname>, <given-names>J. M.</given-names></string-name></person-group> (<year>2018</year>). <article-title>Measurement versus prediction in the construction of patient-reported outcome questionnaires: Can we have our cake and eat it?</article-title> <source>Quality of Life Research</source>, <volume>27</volume>(<issue>7</issue>), <fpage>1673</fpage>&#x2013;<lpage>1682</lpage>. <pub-id pub-id-type="doi">10.1007/s11136-017-1720-4</pub-id>; <pub-id pub-id-type="pmid">29098607</pub-id></mixed-citation></ref>
<ref id="ref-62"><label>Soares et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Soares</surname>, <given-names>J. P.</given-names></string-name>, <string-name><surname>Lopes</surname>, <given-names>R. H.</given-names></string-name>, <string-name><surname>de Souza Mendon&#x00E7;a</surname>, <given-names>P. B.</given-names></string-name>, <string-name><surname>Silva</surname>, <given-names>C. R. D. V.</given-names></string-name>, <string-name><surname>Rodrigues</surname>, <given-names>C. C. F. M.</given-names></string-name>, &#x0026; <string-name><surname>de Castro</surname>, <given-names>J. L.</given-names></string-name></person-group> (<year>2023</year>). <article-title>Use of the Maslach burnout inventory among public health care professionals: Scoping review</article-title>. <source>JMIR Mental Health</source>, <volume>10</volume>(<issue>1</issue>), <fpage>e44195</fpage>. <pub-id pub-id-type="doi">10.2196/44195</pub-id>; <pub-id pub-id-type="pmid">37477960</pub-id></mixed-citation></ref>
<ref id="ref-63"><label>Thrush et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Thrush</surname>, <given-names>C. R.</given-names></string-name>, <string-name><surname>Gathright</surname>, <given-names>M. M.</given-names></string-name>, <string-name><surname>Atkinson</surname>, <given-names>T.</given-names></string-name>, <string-name><surname>Messias</surname>, <given-names>E. L.</given-names></string-name>, &#x0026; <string-name><surname>Guise</surname>, <given-names>J. B.</given-names></string-name></person-group> (<year>2021</year>). <article-title>Psychometric properties of the Copenhagen Burnout Inventory in an academic healthcare institution sample in the US</article-title>. <source>Evaluation &#x0026; the Health Professions</source>, <volume>44</volume>(<issue>4</issue>), <fpage>400</fpage>&#x2013;<lpage>405</lpage>. <pub-id pub-id-type="doi">10.1177/0163278720934165</pub-id>; <pub-id pub-id-type="pmid">32539552</pub-id></mixed-citation></ref>
<ref id="ref-64"><label>Tijdink et al. (2014)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tijdink</surname>, <given-names>J. K.</given-names></string-name>, <string-name><surname>Vergouwen</surname>, <given-names>A. C.</given-names></string-name>, &#x0026; <string-name><surname>Smulders</surname>, <given-names>Y. M.</given-names></string-name></person-group> (<year>2014</year>). <article-title>Emotional exhaustion and burnout among medical professors; a nationwide survey</article-title>. <source>BMC Medical Education</source>, <volume>14</volume>, <fpage>1</fpage>&#x2013;<lpage>7</lpage>. <ext-link ext-link-type="uri" xlink:href="http://www.biomedcentral.com/1472-6920/14/183/prepub">http://www.biomedcentral.com/1472-6920/14/183/prepub</ext-link>.</mixed-citation></ref>
<ref id="ref-65"><label>Todorovic et al. (2021)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Todorovic</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Terzic-Supic</surname>, <given-names>Z.</given-names></string-name>, <string-name><surname>Divjak</surname>, <given-names>J.</given-names></string-name>, <string-name><surname>Stamenkovic</surname>, <given-names>Z.</given-names></string-name>, <string-name><surname>Mandic-Rajcevic</surname>, <given-names>S.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2021</year>). <article-title>Validation of the Study Burnout Inventory and the Copenhagen Burnout Inventory for the use among medical students</article-title>. <source>International Journal of Occupational Medicine and Environmental Health</source>, <volume>34</volume>(<issue>6</issue>), <fpage>737</fpage>&#x2013;<lpage>745</lpage>; <pub-id pub-id-type="pmid">34057165</pub-id></mixed-citation></ref>
<ref id="ref-66"><label>Tran et al. (2023)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Tran</surname> <given-names>T. T. T.</given-names></string-name>, <string-name><surname>Nguyen</surname> <given-names>Q. T.</given-names></string-name>, <string-name><surname>Nguyen</surname> <given-names>N. T.</given-names></string-name>, <string-name><surname>Vu</surname> <given-names>S. T.</given-names></string-name>, <string-name><surname>Kaewboonchoo</surname> <given-names>O.</given-names></string-name> <etal>et al.</etal></person-group> (<year>2023</year>). <article-title>Psychometric properties and factor structure of the Vietnamese Copenhagen Burnout Inventory</article-title>. <source>Journal of Occupational Health</source>, <volume>65</volume>(<issue>1</issue>), <fpage>e12425</fpage>. <pub-id pub-id-type="doi">10.1002/1348-9585.12425</pub-id>; <pub-id pub-id-type="pmid">37775980</pub-id></mixed-citation></ref>
<ref id="ref-67"><label>Vianello et al. (2024)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Vianello</surname>, <given-names>F. A.</given-names></string-name>, <string-name><surname>Redini</surname>, <given-names>V.</given-names></string-name>, &#x0026; <string-name><surname>Zaccagnini</surname>, <given-names>F.</given-names></string-name></person-group> (<year>2024</year>). <article-title>Exhaustion: Migrant mental health, gendered migration and workplace regime</article-title>. <source>International Migration</source>, <volume>62</volume>(<issue>4</issue>), <fpage>3</fpage>&#x2013;<lpage>19</lpage>. <pub-id pub-id-type="doi">10.1111/imig.13274</pub-id></mixed-citation></ref>
<ref id="ref-68"><label>Vila et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Vila</surname>, <given-names>R. C. B.</given-names></string-name>, <string-name><surname>Burgos</surname>, <given-names>L. M.</given-names></string-name>, <string-name><surname>Sigal</surname>, <given-names>A.</given-names></string-name>, <string-name><surname>Costabel</surname>, <given-names>J. P.</given-names></string-name>, &#x0026; <string-name><surname>de Lima</surname>, <given-names>A. A.</given-names>, </string-name></person-group> (<year>2022</year>). <article-title>Burnout syndrome in cardiology residents. Impact of the COVID-19 pandemic on burnout syndrome in cardiology residents</article-title>. <source>Current Problems in Cardiology</source>, <volume>47</volume>(<issue>1</issue>), <fpage>100873</fpage>. <pub-id pub-id-type="doi">10.1016/j.cpcardiol.2021.100873</pub-id>; <pub-id pub-id-type="pmid">34108084</pub-id></mixed-citation></ref>
<ref id="ref-69"><label>Wilson (2020)</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Wilson</surname>, <given-names>T. M. K.</given-names></string-name></person-group> (<year>2020</year>). <source>A correlational analysis of burnout and trait emotional intelligence among geriatric social workers [dissertation]</source>. <publisher-loc>Phoenix, AZ USA</publisher-loc>: <publisher-name>Grand Canyon University</publisher-name>.</mixed-citation></ref>
<ref id="ref-70"><label>Xiong et al. (2022)</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Xiong</surname>, <given-names>B.</given-names></string-name>, <string-name><surname>Newton</surname>, <given-names>S.</given-names></string-name>, &#x0026; <string-name><surname>Skitmore</surname>, <given-names>M.</given-names></string-name></person-group> (<year>2022</year>). <article-title>Towards a conceptual model of the job performance of construction professionals: A person-environment fit perspective</article-title>. <source>International Journal of Construction Management</source>, <volume>22</volume>(<issue>7</issue>), <fpage>1308</fpage>&#x2013;<lpage>1322</lpage>. <pub-id pub-id-type="doi">10.1080/15623599.2019.1695417</pub-id></mixed-citation></ref>
</ref-list>
</back></article>

